| NPI | 1144487539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUISE FORE Nurse/Billing Agent 813-681-3968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: FL AL9058) |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2008-05-22 |