NPI | 1255601142 |
---|---|
Entity Type | Organization |
Authorized Contact | HENRIETTA JO PACE Owner 305-343-9812 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
Additional Taxonomies | 311Z00000X Custodial Care Facility |
302R00000X Health Maintenance Organization | |
261Q00000X Clinic/Center | |
Enumeration Date | 2012-01-09 |
Last Update Date | 2012-01-09 |