| NPI | 1124514716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN ADE TUMA President 352-225-3396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric |
| Additional Taxonomies | 251E00000X Home Health |
| 251J00000X Nursing Care | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2018-07-06 |
| Last Update Date | 2018-07-06 |