| NPI | 1063097509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OKIEMUTE RENE PARRA President 727-460-2123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251B00000X Case Management |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251E00000X Home Health | |
| 251J00000X Nursing Care | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2021-03-16 |
| Last Update Date | 2021-03-16 |