| NPI | 1285290759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANEIQUA HAMILTON COO 407-403-5822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM3000X Clinic/Center, Medically Fragile Infants and Children Day Care |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2019-05-10 |
| Last Update Date | 2025-01-28 |