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NPI 1235496522

NPI 1235496522 : CARITAS ALEGRES ADULT DAY CARE INC : MIAMI, FL

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General NPI Number Information
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    NPI Number           |    1235496522
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    Entity Type          |    Organization 
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    Legal Business Name  |    CARITAS ALEGRES ADULT DAY CARE INC 
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Dates
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    Enumeration Date     |    04/12/2012
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    Last Update Date     |    09/30/2024
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Provider Practice Location Address
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    Address Line         |    2401-2407 NW 7TH ST 
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33125
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    Country              |    US
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    Telephone            |    786-725-7837
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    Fax                  |    786-391-0069
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Provider Business Mailing Address
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    Address Line         |    2401-2407 NW 7TH ST 
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33125
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    Country              |    US
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    Telephone            |    786-725-7837
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    Fax                  |    786-391-0069
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     YENI  CORCHO AREVALO 
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    Credential           |    
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    Telephone            |    786-725-7837
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    311Z00000X
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    Taxonomy Name        |    Custodial Care Facility
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    License Number       |    
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    License Number State |    FL
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Taxonomy #2
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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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