Provider Demographics
NPI:1326365297
Name:ALEGRIA ADULT DAYCARE INC
Entity type:Organization
Organization Name:ALEGRIA ADULT DAYCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:OSMARY
Authorized Official - Middle Name:
Authorized Official - Last Name:REGUERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-364-1115
Mailing Address - Street 1:345-355 W 78 RD
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33014
Mailing Address - Country:US
Mailing Address - Phone:305-364-1115
Mailing Address - Fax:305-364-1115
Practice Address - Street 1:345-355 W 78 RD
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33014
Practice Address - Country:US
Practice Address - Phone:305-364-1115
Practice Address - Fax:305-364-1115
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-30
Last Update Date:2010-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL345-355OtherADD