| NPI | 1114552965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEQUESTA DUKES Director 407-692-5471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251S00000X |
| 253Z00000X In Home Supportive Care | |
| 311Z00000X Custodial Care Facility | |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| 347C00000X Private Vehicle | |
| 372500000X Chore Provider | |
| 372600000X Adult Companion | |
| 374U00000X Home Health Aide | |
| 385H00000X Respite Care | |
| Enumeration Date | 2020-03-11 |
| Last Update Date | 2020-03-11 |