Provider Demographics
NPI:1669150900
Name:MAMA KNOWLES BEST FAMILY DAYCARE LLC
Entity type:Organization
Organization Name:MAMA KNOWLES BEST FAMILY DAYCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MISS
Authorized Official - First Name:YOLANDA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:MAGGITT
Authorized Official - Suffix:
Authorized Official - Credentials:HHA, CMA
Authorized Official - Phone:561-856-3062
Mailing Address - Street 1:3137 AVENUE J APT 5
Mailing Address - Street 2:
Mailing Address - City:RIVIERA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33404-3612
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3137 AVENUE J APT 5
Practice Address - Street 2:
Practice Address - City:RIVIERA BEACH
Practice Address - State:FL
Practice Address - Zip Code:33404-3612
Practice Address - Country:US
Practice Address - Phone:561-856-3062
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-07
Last Update Date:2023-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty