| NPI | 1487245403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA RODRIGUEZ Mng 786-385-1748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility Nursing Care, Pediatric |
| Enumeration Date | 2021-02-02 |
| Last Update Date | 2021-06-18 |