Healthcare Provider Details

I. General information

NPI: 1659756708
Provider Name (Legal Business Name): OLIMPO ADULT DAY CARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2015
Last Update Date: 07/29/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11865 SW 26TH ST STE G5
MIAMI FL
33175-2471
US

IV. Provider business mailing address

11865 SW 26TH ST STE G5
MIAMI FL
33175-2471
US

V. Phone/Fax

Practice location:
  • Phone: 786-464-0634
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number9325
License Number StateFL

VIII. Authorized Official

Name: MICHEL GARCIA IGLESIAS
Title or Position: OWNER
Credential:
Phone: 305-458-9746