Provider Demographics
NPI:1023653565
Name:LA VIDA ES BELLA ADULT DAY CARE LLC
Entity type:Organization
Organization Name:LA VIDA ES BELLA ADULT DAY CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ENID
Authorized Official - Middle Name:YASMIN
Authorized Official - Last Name:BAZART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-353-9797
Mailing Address - Street 1:1515 SW 67TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-5514
Mailing Address - Country:US
Mailing Address - Phone:786-353-9797
Mailing Address - Fax:786-409-7831
Practice Address - Street 1:1515 SW 67TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-5514
Practice Address - Country:US
Practice Address - Phone:786-353-9797
Practice Address - Fax:786-409-7831
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-07
Last Update Date:2019-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care