| NPI | 1558061705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS M RIVERO Officer 786-856-1391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2023-03-07 |
| Last Update Date | 2024-01-24 |