Organization · Type 2 NPI

The Kidz Club- ST Pete,llc

Pediatric Skilled Nursing Facility · Louisville, KY

NPI number 1356687222 Active

Practice location

1101 Herr Ln
Louisville, KY 40222-4301

Fax (502) 327-5098

Mailing address

850 3rd Ave S
St. Petersburg, FL 33701-4033

Specialties and licenses

TaxonomyCodeLicense
Pediatric Skilled Nursing Facility Primary 3140N1450X2929960060 (FL)

Pediatric Skilled Nursing Facility: A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment.

2 other providers at this address

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About NPI 1356687222

The Kidz Club- ST Pete,llc's National Provider Identifier is 1356687222, issued on Dec 21, 2012. The primary taxonomy on file is Pediatric Skilled Nursing Facility (3140N1450X), and the practice location is in Louisville, KY. The record was last updated on Dec 21, 2012.