| NPI | 1548049455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN CRUZ LASSALLE Administrator 786-461-5784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2023-09-28 |
| Last Update Date | 2023-09-29 |