Organization
VIP KIDZ LOXAHATCHEE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA A MANTILLA (OWNER)
(786) 486-9513
Entity
Organization
Contact information
Practice address
13475 SOUTHERN BLVD # 150, LOXAHATCHEE, FL 33470-9203
(786) 486-9513
Mailing address
13475 SOUTHERN BLVD # 150, LOXAHATCHEE, FL 33470-9203
Taxonomy
Speciality
Code
Description
License number
State
261QM3000X
Medically Fragile Infants and Children Day Care
Primary
—
—
Other
Enumeration date
10/23/2017
Last updated
10/23/2017
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