Healthcare Provider Details

I. General information

NPI: 1801963889
Provider Name (Legal Business Name): UNITED ADULT DAYCARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/29/2006
Last Update Date: 06/05/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9782 SW 24TH ST
MIAMI FL
33165-7574
US

IV. Provider business mailing address

9782 SW 24TH ST
MIAMI FL
33165-7574
US

V. Phone/Fax

Practice location:
  • Phone: 305-225-0974
  • Fax: 305-225-1192
Mailing address:
  • Phone: 305-225-0974
  • Fax: 305-225-1192

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number8879
License Number StateFL

VIII. Authorized Official

Name: MS. KATHERINE LEDESMAN
Title or Position: PRESIDENT
Credential:
Phone: 305-225-0974