| NPI | 1659404853 |
|---|---|
| Doing Business As | PRESCRIBED PEDIATRIC EXTENDED CARE PEDIATRIC HEALTH CHOICE |
| Entity Type | Organization |
| Authorized Contact | HUONG L TRAN Vice President 813-880-0220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: FL 20933096) |
| Additional Taxonomies | 251E00000X Home Health (Licence: FL 21776096) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-08-22 |