Organization
VIP KIDZ DEERFIELD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA MANTILLA (OWNER)
(786) 486-9513
Entity
Organization
Contact information
Practice address
2301 W SAMPLE RD BLDG 4, POMPANO BEACH, FL 33073-3081
(786) 486-9513
Mailing address
2301 W SAMPLE RD BLDG 4, POMPANO BEACH, FL 33073-3081
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
02/12/2020
Last updated
02/12/2020
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