Provider Demographics
NPI:1295346229
Name:KIDS LIFE SOLUTIONS
Entity type:Organization
Organization Name:KIDS LIFE SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MS LMCH BCBA
Authorized Official - Prefix:
Authorized Official - First Name:MERCEYDIS
Authorized Official - Middle Name:
Authorized Official - Last Name:MORASSI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-988-3800
Mailing Address - Street 1:10425 SW 16TH ST
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33025-4761
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:290 NE 151ST ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33162-5010
Practice Address - Country:US
Practice Address - Phone:949-614-3476
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-13
Last Update Date:2020-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child