| NPI | 1003384447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIE ANN WILLIAMS Owner/Administrator 813-735-6847 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center Developmental Disabilities |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2018-11-04 |
| Last Update Date | 2020-06-28 |