Organization Name: | XCLUSIVE SENIOR DAY CARE CENTER, INC |
NPI Number: | 1194035980 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ISABEL ACEVEDO (PRESIDENT/CEO) |
Mailing Address: | 12975 West Okeechobee Rd Units 3 & 4 Hialeah Gardens |
State: | FL US |
Postal Code: | 33018 |
Phone Number: | 3058200805 |
Fax Number: | 3058200806 |
NPI Enumeration Date: | 10/14/2010 |
NPI Last Update Date: | 10/14/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA0600X |
License Number: | 9102 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Adult Day Care |
Taxonomy Definition: |