| NPI | 1881156537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE S RODRIGUEZ Administrator/ Owner 305-303-8906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center Adult Day Care |
| Additional Taxonomies | 174200000X Meals |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2019-04-02 |