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Organization

AMAZING KIDZ EXTENDED CARE INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. YANEISY TAALA (ADMINISTRATOR)
(786) 615-9400
Entity
Organization

Contact information

Practice address
9000 SW 137TH AVE STE 101, MIAMI, FL 33186-1435
(786) 615-9400
(786) 773-2868
Mailing address
9020 SW 137TH AVE STE 111, MIAMI, FL 33186-1427
(786) 615-9400
(786) 773-2868

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
60081022
FL
3140N1450X
Pediatric Skilled Nursing Facility
Primary

Other

Enumeration date
06/09/2016
Last updated
02/03/2022
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