Healthcare Provider Details

I. General information

NPI: 1184065559
Provider Name (Legal Business Name): A PLACE FOR YOU ADULT DAY CARE AND REHAB CENTER CORP.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/12/2013
Last Update Date: 11/15/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3678 S CONGRESS AVE
PALM SPRINGS FL
33461-3700
US

IV. Provider business mailing address

3678 S CONGRESS AVE
PALM SPRINGS FL
33461-3700
US

V. Phone/Fax

Practice location:
  • Phone: 561-965-6980
  • Fax: 561-965-9231
Mailing address:
  • Phone: 561-965-6980
  • Fax: 561-965-9231

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: YONIEL GONZALEZ
Title or Position: OWNER
Credential:
Phone: 561-965-6980