Provider Demographics
NPI:1669238119
Name:GENCARE KIDS PPEC PLUS LEARNING CENTER KISSIMMEE, LLC
Entity type:Organization
Organization Name:GENCARE KIDS PPEC PLUS LEARNING CENTER KISSIMMEE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:OLIVE
Authorized Official - Middle Name:V
Authorized Official - Last Name:GAYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-440-2877
Mailing Address - Street 1:2555 E IRLO BRONSON MEMORIAL HWY
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34744-4993
Mailing Address - Country:US
Mailing Address - Phone:888-425-7732
Mailing Address - Fax:407-440-2876
Practice Address - Street 1:2555 E IRLO BRONSON MEMORIAL HWY
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34744-4993
Practice Address - Country:US
Practice Address - Phone:888-425-7732
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-22
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM3000XAmbulatory Health Care FacilitiesClinic/CenterMedically Fragile Infants and Children Day Care