Organization
GENCARE KIDS, LLC
Active
Other names
Gencare Kids, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY RIVERA RN (ADMINISTRATOR)
(407) 440-2877
Entity
Organization
Contact information
Practice address
2557 E IRLO BRONSON MEMORIAL HWY, KISSIMMEE, FL 34744-4993
(407) 440-2877
(407) 440-2876
Mailing address
7003 PRESIDENTS DR STE 800, ORLANDO, FL 32809-5530
(407) 440-2877
(407) 440-2876
Taxonomy
Speciality
Code
Description
License number
State
261QM3000X
Medically Fragile Infants and Children Day Care
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60081072
—
FL
Enumeration date
08/19/2020
Last updated
08/19/2020
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