Provider Demographics
NPI:1699286021
Name:APGAR ADULT DAY CARE LLC
Entity type:Organization
Organization Name:APGAR ADULT DAY CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBORA
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA MILIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-978-0073
Mailing Address - Street 1:11735 SW 147TH AVE UNIT 8
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33196-3329
Mailing Address - Country:US
Mailing Address - Phone:305-418-0317
Mailing Address - Fax:305-418-0317
Practice Address - Street 1:11735 SW 147TH AVE UNIT 8
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33196-3329
Practice Address - Country:US
Practice Address - Phone:305-418-0317
Practice Address - Fax:305-418-0317
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-12
Last Update Date:2017-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9402261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL9402Medicaid