| NPI | 1487003539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YANEISY TAALA Administrator 786-615-9400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: FL 60081022) |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2022-02-03 |