| NPI | 1669206124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA M MEDINA Owner, President 321-610-8718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric |
| Enumeration Date | 2024-08-28 |
| Last Update Date | 2024-09-04 |