| NPI | 1063362028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIANNA PENTON Managing Member/Administrator 813-771-0947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2026-01-30 |
| Last Update Date | 2026-01-30 |