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General NPI Number Information
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NPI Number | 1033974902
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Entity Type | Organization
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Legal Business Name | MY GOOD LIFE ADULT DAYCARE LLC
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Dates
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Enumeration Date | 02/19/2024
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 28852 S DIXIE HWY
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City | HOMESTEAD
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State | FL
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Zip | 33033
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Country | US
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Telephone | 786-410-5666
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Fax | 305-675-2866
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Provider Business Mailing Address
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Address Line | 28852 S DIXIE HWY
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City | HOMESTEAD
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State | FL
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Zip | 33033
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Country | US
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Telephone | 786-410-5666
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Fax | 305-675-2866
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Authorized Official
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Title or Position | OWNER
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Name | SANTIAGO OLIVIA PEREZ
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Credential |
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Telephone | 786-973-0302
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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