Healthcare Provider Details

I. General information

NPI: 1831606250
Provider Name (Legal Business Name): ABBY'S ADULT DAY CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2018
Last Update Date: 01/08/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8872 NW 7TH AVE
MIAMI FL
33150-2304
US

IV. Provider business mailing address

8872 NW 7TH AVE
MIAMI FL
33150-2304
US

V. Phone/Fax

Practice location:
  • Phone: 786-360-5346
  • Fax: 786-360-5681
Mailing address:
  • Phone: 786-360-5346
  • Fax: 786-360-5681

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: ALEJANDRO C LEE
Title or Position: PRESIDENT
Credential:
Phone: 786-942-8636