| NPI | 1154893931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNETTE MAEZTU Director 407-930-6577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X |
| Additional Taxonomies | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| 251E00000X Home Health | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| Enumeration Date | 2018-12-18 |
| Last Update Date | 2023-03-30 |