| NPI | 1194320879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANONKA PASCO Owner 813-244-2361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| 347C00000X Private Vehicle | |
| 385H00000X Respite Care | |
| Enumeration Date | 2020-12-01 |
| Last Update Date | 2020-12-02 |