Organization
WHOLESOME LOVING CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULIANA BALTHAZAR (ADMINISTRATOR)
(786) 226-2016
Entity
Organization
Contact information
Practice address
6757 SW 27TH CT, MIRAMAR, FL 33023-4801
(786) 226-2016
Mailing address
6757 SW 27TH CT, MIRAMAR, FL 33023-4801
(786) 226-2016
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
12/27/2019
Last updated
12/27/2019
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