Organization
VIP KIDZ LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARIA A MANTILLA (ADMINISTRATOR)
(786) 486-9513
Entity
Organization
Contact information
Practice address
2500 METROCENTRE BLVD, SUITE 1, WEST PALM BEACH, FL 33407-3107
(561) 223-2673
(561) 634-3903
Mailing address
2500 METROCENTRE BLVD, SUITE 1, WEST PALM BEACH, FL 33407-3107
(561) 223-2673
(561) 634-3903
Taxonomy
Speciality
Code
Description
License number
State
261QM3000X
Medically Fragile Infants and Children Day Care
Primary
60081008
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60081008
AGENCY FOR HEALTH CARE ADMINISTRATION
FL
Enumeration date
09/10/2014
Last updated
09/10/2014
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