Organization Name: | PLAY SAFE LLC |
NPI Number: | 1255729026 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | VIVIAN CHONA (ARNP/OWNER) |
Mailing Address: | 1008 West Hallandale Beach Blvd Hallandale |
State: | FL US |
Postal Code: | 33009 |
Phone Number: | 9544565680 |
Fax Number: | 9544565682 |
NPI Enumeration Date: | 01/02/2015 |
NPI Last Update Date: | 03/18/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM1300X |
License Number: | ARNPN9192902 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Multi-Specialty |
Taxonomy Definition: |