NPI | 1043973910 |
---|---|
Entity Type | Organization |
Authorized Contact | RAVEN MAYES CEO 352-792-8069 |
Organization Subpart ? | No |
Primary Taxonomy | 251J00000X Nursing Care |
Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
174200000X Meals | |
177F00000X Lodging | |
251E00000X Home Health | |
251K00000X Public Health or Welfare | |
252Y00000X Early Intervention Provider Agency | |
261QA0005X Clinic/Center, Ambulatory Family Planning Facility | |
261QA0600X Clinic/Center, Adult Day Care | |
261QE0002X Clinic/Center, Emergency Care | |
261QM1300X Clinic/Center, Multi-Specialty | |
261QV0200X Clinic/Center, VA | |
347B00000X Bus | |
385H00000X Respite Care | |
385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
Enumeration Date | 2021-10-18 |
Last Update Date | 2021-10-18 |