| NPI | 1003584301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESHAE MARTIN Administrative Director 813-679-5122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| 251J00000X Nursing Care | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2021-09-01 |
| Last Update Date | 2022-01-13 |