| NPI | 1124641154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE R JORDAN Director 407-451-0245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 376J00000X Homemaker | |
| 385H00000X Respite Care | |
| Enumeration Date | 2020-05-26 |
| Last Update Date | 2022-11-29 |