NPI | 1194362814 |
---|---|
Entity Type | Organization |
Authorized Contact | TORI VONTRESE REDDICK Owner 863-427-8217 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD1600X Clinic/Center Developmental Disabilities |
Additional Taxonomies | 253Z00000X In Home Supportive Care |
Enumeration Date | 2019-12-01 |
Last Update Date | 2021-03-09 |