Provider Demographics
NPI:1275044950
Name:GOLDEN KIDS CARE INC
Entity Type:Organization
Organization Name:GOLDEN KIDS CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROSIRIS
Authorized Official - Middle Name:YADIRA
Authorized Official - Last Name:GUERRA RAILLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-322-9323
Mailing Address - Street 1:6625 MIAMI LAKES DR E STE 231
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33014-2768
Mailing Address - Country:US
Mailing Address - Phone:786-322-9323
Mailing Address - Fax:786-661-2959
Practice Address - Street 1:6625 MIAMI LAKES DR E STE 231
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014-2768
Practice Address - Country:US
Practice Address - Phone:786-322-9323
Practice Address - Fax:786-661-2959
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-20
Last Update Date:2021-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty