Provider Demographics
NPI:1982942207
Name:KIDS CHOICE PEDIATRIC DAY CARE CENTER
Entity type:Organization
Organization Name:KIDS CHOICE PEDIATRIC DAY CARE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:LOUIS-CHARLES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:754-204-6122
Mailing Address - Street 1:4767 NW 9TH DR
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33317-1470
Mailing Address - Country:US
Mailing Address - Phone:754-204-6122
Mailing Address - Fax:
Practice Address - Street 1:7900 NW 27TH AVE
Practice Address - Street 2:SUITE D-5
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33147-4909
Practice Address - Country:US
Practice Address - Phone:786-476-7100
Practice Address - Fax:786-476-7031
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-21
Last Update Date:2013-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM3000XAmbulatory Health Care FacilitiesClinic/CenterMedically Fragile Infants and Children Day Care