Organization
PEDIATRIC ALTERNATIVE TREATMENT CARE HOUSING AND EVALUATION SERVICES I
Active
Other names
PATCHES
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AZONA KYLE SMITH RN.,BSN (CEO)
(305) 242-8122
Entity
Organization
Contact information
Practice address
335 S KROME AVE, SUITE 104-107, FLORIDA CITY, FL 33034-4906
(305) 242-8122
(305) 242-8837
Mailing address
335 S KROME AVE, SUITE 104, FLORIDA CITY, FL 33034-4906
(305) 242-8122
(305) 242-8837
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
—
240023500
—
FL
Enumeration date
10/25/2006
Last updated
11/20/2019
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