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General NPI Number Information
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NPI Number | 1457653073
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Entity Type | Organization
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Legal Business Name | LCC ADULT DAY CARE, LLC
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Dates
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Enumeration Date | 12/02/2010
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Last Update Date | 01/10/2023
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Provider Practice Location Address
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Address Line | 1300 PALM AVE
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City | HIALEAH
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State | FL
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Zip | 33010-3427
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Country | US
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Telephone | 305-687-3800
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Fax |
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Provider Business Mailing Address
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Address Line | 1300 PALM AVE
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City | HIALEAH
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State | FL
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Zip | 33010-3427
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Country | US
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Telephone | 305-687-3800
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Fax | 305-402-2304
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Authorized Official
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Title or Position | OWNER
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Name | JORGE FELIX SOCARRAS JR.
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Credential |
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Telephone | 305-687-3800
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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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