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 # | 1770927345 |
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| LBN Legal business name | PEDIATRIA HEALTHCARE, LLC | ||||
| Authorized official | VICKI WHITESIDE - (DIRECTOR, REGULATORY LICENSING) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 04/25/2013 | ||||
| Last updated | 11/30/2018 - About 8 years ago | ||||
| Identifiers |
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