| NPI | 1164933727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA SHACKELFORD Administrator 321-216-5562 |
| Organization Subpart ? | No |
| Primary Taxonomy | 372600000X Adult Companion (Licence: FL 235037) |
| Additional Taxonomies | 376J00000X Homemaker (Licence: FL 235037) |
| Enumeration Date | 2017-10-22 |
| Last Update Date | 2017-10-22 |