Healthcare Provider Details

I. General information

NPI: 1700325636
Provider Name (Legal Business Name): HAPPY FACE ADULT DAY CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2017
Last Update Date: 02/12/2017
Certification Date: HAPPY FACE ADULT DAY CARE LLC 5856 W FLAGLER ST MIAMI FL 33144 5856 W FLAGLER ST MIAMI FL 33144
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5856 W FLAGLER ST
MIAMI FL
33144-3363
US

IV. Provider business mailing address

5856 W FLAGLER ST
MIAMI FL
33144-3363
US

V. Phone/Fax

Practice location:
  • Phone: 305-755-2980
  • Fax:
Mailing address:
  • Phone: 305-755-2980
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care
License Number
License Number StateFL

VIII. Authorized Official

Name: MR. ROLANDO GARCIA
Title or Position: OPERATOR
Credential:
Phone: 305-755-2980