| NPI | 1093095655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS URENA Owner 813-712-0612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2011-08-26 |
| Last Update Date | 2011-08-26 |