NPI:
1164208948
Provider Name:
GENCARE KIDS PPEC AND LEARNING CENTER HAINES CITY LLC
Former Legal Business Name: GENCARE KIDS HAINES CITY, LLC
Classification:
Clinic/Center - 261QM3000X
Entity Type:
Organization
Specialization: Medically Fragile Infants and Children Day Care
Address:
110 PATTERSON RD
HAINES CITY, FL
ZIP 33844
Phone:
(888) 425-7732
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GENCARE KIDS PPEC AND LEARNING CENTER HAINES CITY LLC is a medically fragile infants and children day care clinic center in Haines City, FL. The provider is an entity, facility, or distinct part of a facility specially equipped and staffed to provide care for medically fragile children with varied and complex care needs (e.g., enteral or parental feeding, ostomy care, respiratory/ventilator care, medications and therapies, etc.). GENCARE KIDS PPEC AND LEARNING CENTER HAINES CITY LLC NPI is 1164208948. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Gencare Kids Haines City, Llc.
The provider's business location address is:
110 PATTERSON RD
HAINES CITY, FL
ZIP 33844-805
Phone: (888) 425-7732
Fax: (407) 440-2877
The provider's authorized official is Olive Gaye .
The authorized official title is President and has the following contact phone number (888) 425-7732.
The enumeration date for this NPI number is 9/6/2023 and was last updated on 12/26/2023.