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An entity, facility, or distinct part of a facility specially equipped and staffed to provide care for medically fragile children with varied and complex care needs (e.g., enteral or parental feeding, ostomy care, respiratory/ventilator care, medications and therapies, etc.).
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Medically Fragile Infants and Children Day Care |
261QM3000X |
| NPI Number | 1225656739 |
| LBN Legal business name | 15 WESNER LANE PECC OPERATING COMPANY, LP |
| Authorized official | KIMBERLY KENWORTHY - (DIRECTOR OF ACCOUNTS RECEIVABLE) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 07/10/2020 |
| Last updated | 07/10/2020 - About 6 years ago |
| Identifiers | n/a |
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15 WESNER LANE PECC OPERATING COMPANY, LP