| NPI | 1003314162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID A BOYD Administrator 813-971-5929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 251C00000X |
| 253Z00000X In Home Supportive Care | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 376J00000X Homemaker | |
| Enumeration Date | 2018-01-24 |
| Last Update Date | 2018-01-24 |