| NPI | 1518368471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA A MANTILLA Administrator 786-486-9513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM3000X Clinic/Center, Medically Fragile Infants and Children Day Care (Licence: FL 60081008) |
| Enumeration Date | 2014-09-10 |
| Last Update Date | 2014-09-10 |