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NPI Code Detail

MEDICARE: LAGO CARE INC

MEDICARE: LAGO CARE INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QA0600XAdult Day Care Clinic/Center

General Provider Information

NPI Number : 1265252944
Entity Type Code : Organization
Provider Name (Legal Business Name) : LAGO CARE INC
Provider Business Mailing Address
First Line : 18710 SW 107TH AVE UNIT 2
Second Line :
City : CUTLER BAY
State : FL
Zip : 33157-6750
Country : US
Telephone Number : 786-483-5523
Fax Number :
Provider Business Practice Location Address
First Line : 18710 SW 107TH AVE UNIT 2
Second Line :
City : CUTLER BAY
State : FL
Zip : 33157-6750
Country : US
Telephone Number : 786-483-5523
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : ADLAY LAGO JR
Credential :
Telephone Number : 786-483-5523
Provider Enumeration Date : 10/16/2024
Last Update Date : 10/16/2024

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Directions to “LAGO CARE INC ” Practice Location

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