MEDICARE: ABUELOS ADULT DAY CARE # 2 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
1	261QA0600X	Adult Day Care Clinic/Center

General Provider Information

NPI Number	:	1760921639
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABUELOS ADULT DAY CARE # 2 INC.

Provider Business Mailing Address
First Line	:	2800 N MACDILL AVE
Second Line	:	SUITE D
City	:	TAMPA
State	:	FL
Zip	:	33607-2208
Country	:	US
Telephone Number	:	813-748-8363
Fax Number	:	813-374-8920

Provider Business Practice Location Address
First Line	:	2800 N MACDILL AVE
Second Line	:	SUITE D
City	:	TAMPA
State	:	FL
Zip	:	33607-2208
Country	:	US
Telephone Number	:	813-748-8363
Fax Number	:	813-374-8920

Authorized Official
Title or Position	:	CEO
Name	:	ANA E BATISTA
Credential	:
Telephone Number	:	813-748-8363

Provider Enumeration Date	:	02/13/2017
Last Update Date	:	06/12/2019

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