| NPI | 1063914885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA LASHAWN MILES Owner 813-410-6055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 376K00000X Nurse's Aide |
| Additional Taxonomies | 372600000X Adult Companion |
| 374U00000X Home Health Aide | |
| 376J00000X Homemaker | |
| 385H00000X Respite Care | |
| Enumeration Date | 2018-03-07 |
| Last Update Date | 2018-03-07 |