Healthcare Provider Details
I. General information
NPI: 1619655933
Provider Name (Legal Business Name): DREAM CARE ADULT DAY CARE CORP
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/06/2023
Last Update Date: 07/06/2023
Certification Date: 07/06/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2601 S MILITARY TRL STE 13A
WEST PALM BEACH FL
33415-7509
US
IV. Provider business mailing address
15730 SW 147TH AVE
MIAMI FL
33187-5512
US
V. Phone/Fax
- Phone: 561-719-5705
- Fax:
- Phone: 786-222-7486
- Fax:
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:
DAYLI
PEREZ
Title or Position: OWNER
Credential:
Phone: 786-222-7486