Provider Demographics
NPI:1447829387
Name:MANILA ADULT DAYCARE LLC
Entity type:Organization
Organization Name:MANILA ADULT DAYCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARICHU
Authorized Official - Middle Name:
Authorized Official - Last Name:PIZAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-239-9235
Mailing Address - Street 1:8854 CARRADORI AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89148-4940
Mailing Address - Country:US
Mailing Address - Phone:702-239-9235
Mailing Address - Fax:702-947-2287
Practice Address - Street 1:1330 KAREN AVE UNIT B
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89169-1260
Practice Address - Country:US
Practice Address - Phone:702-331-5925
Practice Address - Fax:702-947-2287
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-24
Last Update Date:2022-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care