| NPI | 1164205068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID RAFAEL RAMOS Owner 813-869-0831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251E00000X Home Health | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2023-08-15 |
| Last Update Date | 2023-08-15 |