| NPI | 1881205284 |
|---|---|
| Doing Business As | GOOD LIFE ADULT DAY CARE |
| Doing Business As | TAMPA BAY ADULT DAY CARE |
| Entity Type | Organization |
| Authorized Contact | SIVAN LAM Director 239-219-2513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 174200000X |
| 225800000X Recreation Therapist | |
| 251T00000X PACE Provider Organization | |
| 405300000X Prevention Professional | |
| Enumeration Date | 2020-08-11 |
| Last Update Date | 2020-08-13 |