| 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 | |
| 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 |