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General NPI Number Information
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NPI Number | 1174882518
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Entity Type | Organization
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Legal Business Name | SWEET LIFE ADULT DAY CARE, CORP.
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Dates
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Enumeration Date | 05/04/2012
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 10300 S.W. 72 ST. STE #412
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City | MIAMI
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State | FL
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Zip | 33173
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Country | US
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Telephone | 786-554-9485
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Fax | 305-639-8920
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Provider Business Mailing Address
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Address Line | 10300 S.W. 72 ST. STE #412
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City | MIAMI
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State | FL
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Zip | 33173
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Country | US
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Telephone | 786-554-9485
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Fax | 305-639-8920
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Authorized Official
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Title or Position | OWNER/ADMIN
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Name | MRS. LISSETTE LIMA
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Credential |
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Telephone | 786-554-9485
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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 | 9187
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License Number State | FL
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