Provider Demographics
NPI:1104452408
Name:A & L ADULT DAY CARE CORP.
Entity type:Organization
Organization Name:A & L ADULT DAY CARE CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANNIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ARREGUI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-731-7098
Mailing Address - Street 1:6288 NW 186TH ST APT 210
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33015-6047
Mailing Address - Country:US
Mailing Address - Phone:786-731-7098
Mailing Address - Fax:
Practice Address - Street 1:5911 NW 173RD DR UNIT 12
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33015-5122
Practice Address - Country:US
Practice Address - Phone:305-491-0062
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-18
Last Update Date:2020-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL9472Medicaid