Healthcare Provider Details

I. General information

NPI: 1750896734
Provider Name (Legal Business Name): LOVE & JOY ADULT DAY CARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2017
Last Update Date: 12/12/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4872 NW 7TH ST
MIAMI FL
33126-2102
US

IV. Provider business mailing address

4872 NW 7TH ST
MIAMI FL
33126-2102
US

V. Phone/Fax

Practice location:
  • Phone: 786-263-2299
  • Fax: 305-603-9779
Mailing address:
  • Phone: 786-263-2299
  • Fax: 305-603-9779

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number9406
License Number StateFL

VIII. Authorized Official

Name: MR. VICTOR RAFAEL ESPINOSA CRESPO
Title or Position: PRESIDENT
Credential:
Phone: 786-263-2299