| NPI | 1013782374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANAE KELLY BELLAMY Owner 863-242-8769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251C00000X |
| 253Z00000X In Home Supportive Care | |
| 310500000X Intermediate Care Facility, Mental Illness | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2023-11-16 |
| Last Update Date | 2023-11-20 |