| NPI | 1073281721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEVARA L. SIMS Owner 813-679-2397 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 101YS0200X Counselor, School |
| 251300000X Local Education Agency (LEA) | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251E00000X Home Health | |
| 252Y00000X Early Intervention Provider Agency | |
| 253J00000X Foster Care Agency | |
| 253Z00000X In Home Supportive Care | |
| 310400000X Assisted Living Facility | |
| 385H00000X Respite Care | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2021-08-30 |
| Last Update Date | 2021-08-30 |