Healthcare Provider Details
I. General information
NPI: 1992491575
Provider Name (Legal Business Name): HORIZON COMMUNITY ADULT DAY CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/17/2023
Last Update Date: 04/17/2023
Certification Date: 04/15/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
10700 SW 113TH PL
MIAMI FL
33176-3254
US
IV. Provider business mailing address
10700 SW 113TH PL
MIAMI FL
33176-3254
US
V. Phone/Fax
- Phone: 786-448-3737
- Fax: 305-397-1434
- Phone: 786-448-3737
- Fax: 305-397-1434
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QA0600X |
| Taxonomy | Adult Day Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ALEXANDER
NUNEZ ROSA
Title or Position: OWNER
Credential:
Phone: 786-448-3737