| NPI | 1023761384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAITH S BURNEY Owner 813-733-2666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 251E00000X Home Health |
| 251G00000X Hospice Care, Community Based | |
| Enumeration Date | 2022-01-27 |
| Last Update Date | 2024-04-09 |