| NPI | 1184136145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEPORSHIA ARVETTA BLACKMON Administrator 407-986-7557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174200000X Meals |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 372500000X Chore Provider (Licence: FL 23940) | |
| 372600000X Adult Companion (Licence: FL 23940) | |
| 3747A0650X Technician, Attendant Care Provider | |
| 376J00000X Homemaker (Licence: FL 23940) | |
| 385H00000X Respite Care | |
| Enumeration Date | 2017-10-31 |
| Last Update Date | 2022-12-05 |