| NPI | 1073174223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORA MARIA MEJIA Administrator 813-531-0360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251C00000X |
| 251E00000X Home Health | |
| 311Z00000X Custodial Care Facility | |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2019-06-27 |
| Last Update Date | 2020-01-21 |