| NPI | 1134594906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHEDETTE COURAGE CEO 305-910-5460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child (Licence: FL 111124GH) |
| Enumeration Date | 2015-12-04 |
| Last Update Date | 2015-12-04 |