Genoma Therapeutic Adult Day Care Center, INC

NPI #1598158099 in Greenacres, Florida

Provider Information

NPI Number
1598158099
Entity Type
Organization
Organization Name
Genoma Therapeutic Adult Day Care Center, INC
Primary Specialty
Clinic/Center - Adult Day Care
Enumeration Date
Mar 9, 2015
Last Updated
Mar 9, 2015

Practice Location

Address
4611 LAKE WORTH RD
State
Florida
ZIP Code
33463-3451
Phone
(561) 568-9583

Authorized Official

Name
MR. RAYDEL MIRANDA
Title
PRESIDENT
Phone
(561) 568-9583

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Adult Day CareAdult Day Care

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