| NPI | 1225712649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA QUINTERO Administrator 786-567-0077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric |
| Enumeration Date | 2023-06-14 |
| Last Update Date | 2024-01-30 |