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General NPI Number Information
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NPI Number | 1962806968
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Entity Type | Organization
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Legal Business Name | LIVING LIFE ADULT DAY CARE
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Dates
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Enumeration Date | 10/20/2014
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Last Update Date | 03/11/2026
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Provider Practice Location Address
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Address Line | 12750 NW 17TH ST UNIT 107
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City | MIAMI
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State | FL
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Zip | 33182
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Country | US
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Telephone | 954-549-0948
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Fax | 800-536-9708
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Provider Business Mailing Address
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Address Line | 12750 NW 17TH ST UNIT 107
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City | MIAMI
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State | FL
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Zip | 33182
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Country | US
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Telephone | 954-549-0948
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Fax | 800-536-9708
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Authorized Official
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Title or Position | PRESIDENT
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Name | IVAN PEREZ RODRIGUEZ
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Credential |
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Telephone | 786-389-8621
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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 | 9293
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License Number State | FL
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