Provider Demographics
NPI:1215509443
Name:VIVE FELIZ ADULT DAYCARE INC
Entity type:Organization
Organization Name:VIVE FELIZ ADULT DAYCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:CHILS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-780-4648
Mailing Address - Street 1:1541 SE 12TH AVE STE 32-3334
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33034-2699
Mailing Address - Country:US
Mailing Address - Phone:786-404-3685
Mailing Address - Fax:786-404-3685
Practice Address - Street 1:1541 SE 12TH AVE STE 32-3334
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33034-2699
Practice Address - Country:US
Practice Address - Phone:786-404-3685
Practice Address - Fax:786-404-3685
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-16
Last Update Date:2021-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care