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Organization
KIDS MIRACLE STEPS, INC.
Active
Organization
KIDS MIRACLE STEPS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GALINA KLYACHMAN (ADMINISTRATOR)
(646) 662-8658
Entity
Organization
Contact information
Practice address
1371-1381 N PALM AVE., PEMBROKE PINES, FL 33024
(954) 505-4937
(954) 212-8111
Mailing address
1371-1381 N PALM AVE., PEMBROKE PINES, FL 33024
(954) 505-4937
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105261500
—
FL
Enumeration date
01/13/2020
Last updated
07/15/2021
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