| Organization Name: | LATIN ADULT DAY HEALTH CARE CENTER |
| NPI Number: | 1013308188 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARIO MANCEBO (DIRECTOR) |
| Mailing Address: | 663 Charles St Providence |
| State: | RI US |
| Postal Code: | 029041350 |
| Phone Number: | 4017092392 |
| Fax Number: | 4016030912 |
| NPI Enumeration Date: | 02/11/2015 |
| NPI Last Update Date: | 03/03/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA0600X |
| License Number: | ADC00038 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | RI |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Adult Day Care |
| Taxonomy Definition: | |