Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Children |
282NC2000X | A0[7] | Hospital-Children’s (PPS excluded) |
| NPI Number | 1437238474 |
| LBN Legal business name | PEDIATRIC HEALTHCARE, LLC |
| Authorized official | MARTIN GLOVER - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 11/02/2006 |
| Last updated | 07/21/2022 - About 4 years ago |
| Identifiers | n/a |
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