| NPI | 1053818617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMILLIA JEFFERIES Founder 239-600-9191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable |
| Additional Taxonomies | 174200000X |
| 177F00000X Lodging | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 310400000X Assisted Living Facility | |
| 252Y00000X Early Intervention Provider Agency | |
| 253J00000X Foster Care Agency | |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances | |
| 310500000X Intermediate Care Facility, Mental Illness | |
| 311500000X Alzheimer Center (Dementia Center) | |
| 311Z00000X Custodial Care Facility | |
| 315D00000X Hospice, Inpatient | |
| 333600000X Pharmacy | |
| Enumeration Date | 2018-04-10 |
| Last Update Date | 2018-04-10 |