| NPI | 1033663406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBA L PONCE DE LEON Owner/Manager 407-595-0529 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2016-08-15 |
| Last Update Date | 2016-10-24 |