Provider Demographics
NPI:1124770987
Name:PRECIOUS KIDDOS MEDICAL DAYCARE LLC
Entity type:Organization
Organization Name:PRECIOUS KIDDOS MEDICAL DAYCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANITHE
Authorized Official - Middle Name:
Authorized Official - Last Name:PIERRE BERNARD
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:321-945-1170
Mailing Address - Street 1:7450 CYPRESS GARDENS BLVD STE 7490
Mailing Address - Street 2:
Mailing Address - City:WINTER HAVEN
Mailing Address - State:FL
Mailing Address - Zip Code:33884-6200
Mailing Address - Country:US
Mailing Address - Phone:321-945-1170
Mailing Address - Fax:
Practice Address - Street 1:7450 CYPRESS GARDENS BLVD STE 7490
Practice Address - Street 2:
Practice Address - City:WINTER HAVEN
Practice Address - State:FL
Practice Address - Zip Code:33884-6200
Practice Address - Country:US
Practice Address - Phone:321-945-1170
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-24
Last Update Date:2022-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3140N1450XNursing & Custodial Care FacilitiesSkilled Nursing FacilityNursing Care, Pediatric