| NPI | 1205095544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FEDORA ELIPE Registered Nurse/Manager 305-556-1875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric (Licence: FL RN9238359) |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2008-06-02 |