| NPI | 1093645004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMED M. ABDELLI Administrator 850-960-5045 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM3000X Clinic/Center, Medically Fragile Infants and Children Day Care |
| Enumeration Date | 2026-05-21 |
| Last Update Date | 2026-05-21 |