| NPI | 1194218933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY YVETTE COPELAND Owner/Manager 386-492-2879 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: FL RN9268347) |
| Additional Taxonomies | 251J00000X Nursing Care |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 372600000X Adult Companion | |
| 3747P1801X Technician, Personal Care Attendant | |
| 376J00000X Homemaker | |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2023-11-16 |