| NPI | 1932495702 |
|---|---|
| Doing Business As | THE KIDZ CLUB- ST. PETE |
| Entity Type | Organization |
| Authorized Contact | RICHARD C WHITE COO 502-210-5538 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric |
| Additional Taxonomies | 227800000X Respiratory Therapist, Certified (Licence: FL 002082100) |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2015-05-19 |