| NPI | 1750128922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IHOANNE M BETANCOURT RUIZ President 813-384-1778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric |
| Enumeration Date | 2024-07-13 |
| Last Update Date | 2024-07-13 |