| NPI | 1144951708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE RODRIGUEZ Manager/Owner 407-416-5457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| Enumeration Date | 2022-06-23 |
| Last Update Date | 2022-06-23 |