Provider Demographics
NPI:1174955330
Name:VIVIR BIEN ADULT DAY CARE CENTER LLC
Entity type:Organization
Organization Name:VIVIR BIEN ADULT DAY CARE CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARILEY
Authorized Official - Middle Name:M
Authorized Official - Last Name:SEGRERA-GRABANIA
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:480-707-7356
Mailing Address - Street 1:2681 E HULET DRIVE
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85225
Mailing Address - Country:US
Mailing Address - Phone:480-707-7356
Mailing Address - Fax:
Practice Address - Street 1:2681 E HULET DRIVE
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85225
Practice Address - Country:US
Practice Address - Phone:480-707-7356
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-30
Last Update Date:2013-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home