| NPI | 1356507214 |
|---|---|
| Other Name | PEDIATRIC EXTENDED CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | BETTY TEJERINA Social Worker 239-403-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility Nursing Care, Pediatric |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2008-07-31 |