| NPI | 1487257069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROLANDO LOPEZ President 786-258-5939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric |
| Enumeration Date | 2020-11-17 |
| Last Update Date | 2022-02-08 |