| NPI | 1164000279 |
|---|---|
| Former Legal Business Name | FAMILY FOCUSED SUPPORT SERVICES LLC |
| Entity Type | Organization |
| Authorized Contact | ROSALAND KENON Owner 813-535-0726 |
| Organization Subpart ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse |
| Enumeration Date | 2021-03-30 |
| Last Update Date | 2021-04-08 |