| NPI | 1366810079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE C. SUAREZ FERNANDEZ President 786-641-6858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric (Licence: FL PP29960085) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2015-09-11 |
| Last Update Date | 2021-07-09 |