PEDIATRIC ALTERNATIVE TREATMENT CARE HOUSING AND EVALUATION SERVICES I NPI 1689758328

NPI Information

PEDIATRIC ALTERNATIVE TREATMENT CARE HOUSING AND EVALUATION SERVICES I is a medically fragile infants and children day care clinic center in Florida 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.). PEDIATRIC ALTERNATIVE TREATMENT CARE HOUSING AND EVALUATION SERVICES I NPI is 1689758328. The provider is registered as an organization entity type.
The provider Is Doing Business As Patches.

The provider's business location address is:

335 S KROME AVE
SUITE 104-107
FLORIDA CITY, FL
ZIP 33034-906
Phone: (305) 242-8122
Fax: (305) 242-8837

The provider's authorized official is Azona Kyle Smith .
The authorized official title is Ceo and has the following contact phone number (305) 242-8122.

The enumeration date for this NPI number is 10/25/2006 and was last updated on 11/20/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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