Healthcare Provider Details

I. General information

NPI: 1760921639
Provider Name (Legal Business Name): ABUELOS ADULT DAY CARE # 2 INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2017
Last Update Date: 06/12/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2800 N MACDILL AVE SUITE D
TAMPA FL
33607-2208
US

IV. Provider business mailing address

2800 N MACDILL AVE SUITE D
TAMPA FL
33607-2208
US

V. Phone/Fax

Practice location:
  • Phone: 813-748-8363
  • Fax: 813-374-8920
Mailing address:
  • Phone: 813-748-8363
  • Fax: 813-374-8920

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: ANA E BATISTA
Title or Position: CEO
Credential:
Phone: 813-748-8363