Organization
HEART OF GOLD PPEC LLC
Active
Other names
HEART OF GOLD PPEC LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ROSSELIA VANESSA HERNANDEZ (OWNER/ADMINISTRATOR)
(407) 973-5497
Entity
Organization
Contact information
Practice address
1499 N JOHN YOUNG PKWY, KISSIMMEE, FL 34741-3212
(407) 350-5578
(407) 350-5423
Mailing address
1499 N JOHN YOUNG PKWY, KISSIMMEE, FL 34741-3212
(407) 350-5578
(407) 350-5423
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
2279P3900X
Neonatal/Pediatric Registered Respiratory Therapist
—
—
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
—
—
251J00000X
Nursing Care Agency
—
—
261QM3000X
Medically Fragile Infants and Children Day Care
Primary
—
—
3140N1450X
Pediatric Skilled Nursing Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
08/18/2022
Last updated
08/18/2022
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