Organization · NPI-2

Action Kidz Ppec Corp

Clinic/Center, Medically Fragile Infants and Children Day Care · Melbourne, FL

NPI number1114794625
StatusActive
Last updated in NPPESDec 5, 2023

Details

NPI
1114794625
Entity type
Organization (NPI-2)
Legal business name
Action Kidz Ppec Corp
Organization subpart
No
Enumeration date
Dec 5, 2023
Certification date
Dec 5, 2023
Last updated
Dec 5, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM3000X Clinic/Center, Medically Fragile Infants and Children Day Care––Yes

Practice location

4501 N Wickham Rd
Melbourne, FL 32935-7180

Phone 321-241-0279 · Fax 888-429-6515

Mailing address

4501 N Wickham Rd
Melbourne, FL 32935-7180

Phone 321-241-0279 · Fax 888-429-6515

Authorized official

Felvina Garcia Renna
Ceo
5616320926

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