Organization
PRESCRIBED PEDIATRIC EXTENDED CARE, INC
Active
Other names
Pediatric Health Choice
Organization subpart
No
Provider details
NPI number
Authorized official
HEIDI TOSTI (VP FINANCE)
(813) 769-5358
Entity
Organization
Contact information
Practice address
2570 SW RAILROAD AVE, HAMMOND, LA 70403-1514
(985) 386-5750
Mailing address
8509 BENJAMIN RD STE D, TAMPA, FL 33634-1224
(813) 880-0320
(813) 880-0519
Taxonomy
Speciality
Code
Description
License number
State
261QM3000X
Medically Fragile Infants and Children Day Care
Primary
—
—
Other
Enumeration date
08/14/2013
Last updated
04/28/2021
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