Organization
EXTENDED KIDS CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL HERRERA RODRIGUEZ APRN, FNP-C (PRESIDENT)
(786) 603-9377
Entity
Organization
Contact information
Practice address
3000 NW 101ST LN UNIT 101, CORAL SPRINGS, FL 33065-3930
(754) 241-5305
(754) 241-5471
Mailing address
3000 NW 101ST LN UNIT 101, CORAL SPRINGS, FL 33065-3930
(786) 603-9377
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
—
—
261QM3000X
Medically Fragile Infants and Children Day Care
Primary
—
—
3140N1450X
Pediatric Skilled Nursing Facility
—
—
Other
Enumeration date
06/04/2024
Last updated
01/24/2025
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