Provider Demographics
NPI:1538902457
Name:GLADES ADULT DAYCARE & REHAB CENTER LLC
Entity type:Organization
Organization Name:GLADES ADULT DAYCARE & REHAB CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:CARMELLE
Authorized Official - Last Name:ALIZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-707-0118
Mailing Address - Street 1:4021 W HAMILTON KY
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-7441
Mailing Address - Country:US
Mailing Address - Phone:561-469-7005
Mailing Address - Fax:
Practice Address - Street 1:4021 W HAMILTON KY
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-7441
Practice Address - Country:US
Practice Address - Phone:561-469-7005
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-18
Last Update Date:2024-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care