| NPI | 1518465053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE HATLEY Billing 407-755-3127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM3000X Clinic/Center, Medically Fragile Infants and Children Day Care |
| Enumeration Date | 2018-01-30 |
| Last Update Date | 2019-05-10 |