| NPI | 1023641560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA MANTILLA Owner 786-486-9513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility Nursing Care, Pediatric |
| Enumeration Date | 2020-02-12 |
| Last Update Date | 2020-02-12 |