| NPI | 1023862125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAWANNA TAYLOR CEO/ Owner 813-563-8665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 347C00000X Private Vehicle |
| 374U00000X Home Health Aide | |
| 385H00000X Respite Care | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2024-04-15 |
| Last Update Date | 2024-10-21 |