| NPI | 1285290759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE HATLEY Billing 407-755-3127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM3000X Clinic/Center, Medically Fragile Infants and Children Day Care |
| Enumeration Date | 2019-05-10 |
| Last Update Date | 2019-05-10 |