Provider Demographics
NPI:1396006441
Name:PEQUENOS GIGANTES ADULT DAY CARE
Entity type:Organization
Organization Name:PEQUENOS GIGANTES ADULT DAY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DAYANA
Authorized Official - Middle Name:M
Authorized Official - Last Name:ARAUJO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-321-7588
Mailing Address - Street 1:311 SW 27TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33135-2901
Mailing Address - Country:US
Mailing Address - Phone:305-321-7588
Mailing Address - Fax:
Practice Address - Street 1:311 SW 27TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33135-2901
Practice Address - Country:US
Practice Address - Phone:305-321-7588
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-06
Last Update Date:2015-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL311Z00000X
FL9204261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility