Organization · Type 2 NPI
The Kidz Club- ST Pete, LLC
Pediatric Skilled Nursing Facility · St. Petersburg, FL
Practice location
850 3rd Ave S
St. Petersburg, FL 33701-4010
Fax (727) 821-9459
Mailing address
1101 Herr Ln
Louisville, KY 40222-4301
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Certified Respiratory Therapist | 227800000X | 002082100 (FL) |
| Pediatric Skilled Nursing Facility Primary | 3140N1450X | None listed |
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.
5 other providers at this address
- Banyan Pediatric Care Centers - ST PetersburgMedically Fragile Infants and Children Day Care St. Petersburg, FL NPI 1265074090
- Ppec of FL St. Pete, LLCMedically Fragile Infants and Children Day Care St. Petersburg, FL NPI 1770367732
- Ppec of FL Support, LLCMedically Fragile Infants and Children Day Care St. Petersburg, FL NPI 1598447005
- Jamie Kaiser, OTR/LOccupational Therapist St. Petersburg, FL NPI 1821913039
- Samantha Ruttan, DPTPhysical Therapist St. Petersburg, FL NPI 1104707108
About NPI 1932495702
The Kidz Club- ST Pete, LLC's National Provider Identifier is 1932495702, issued on Jun 21, 2011. The primary taxonomy on file is Pediatric Skilled Nursing Facility (3140N1450X), and the practice location is in St. Petersburg, FL. The record was last updated on May 19, 2015.