MEDICARE: ALL DAY CARE CENTER, LLC

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	385H00000X	Respite Care	9129	FL

General Provider Information

NPI Number	:	1962702209
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALL DAY CARE CENTER, LLC

Provider Business Mailing Address
First Line	:	5001 HOLLYWOOD BLVD
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33021-6515
Country	:	US
Telephone Number	:	954-374-8236
Fax Number	:	954-251-1982

Provider Business Practice Location Address
First Line	:	5001 HOLLYWOOD BLVD
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33021-6515
Country	:	US
Telephone Number	:	954-374-8236
Fax Number	:	954-251-1982

Authorized Official
Title or Position	:	SOCIAL WORKER/COMMUNITY LIAISON
Name	:	EMILY DIANE SAMUELS
Credential	:	LCSW
Telephone Number	:	954-374-8236

Provider Enumeration Date	:	11/02/2010
Last Update Date	:	11/02/2010

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