Healthcare Provider Details

I. General information

NPI: 1659040137
Provider Name (Legal Business Name): MY BEST FAMILY ADULT DAY CARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2021
Last Update Date: 09/08/2021
Certification Date: 09/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10029 SW 72ND ST
MIAMI FL
33173-4623
US

IV. Provider business mailing address

10029 SW 72ND ST
MIAMI FL
33173-4623
US

V. Phone/Fax

Practice location:
  • Phone: 786-314-1395
  • Fax: 305-596-0244
Mailing address:
  • Phone: 786-314-1395
  • Fax: 305-596-0244

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JOHN BLANCO
Title or Position: VICE-PRESIDENT
Credential:
Phone: 786-314-1395