| NPI | 1194569319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA NICOLE PORTER Owner 850-727-6705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 253Z00000X In Home Supportive Care | |
| 385H00000X Respite Care | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2024-06-21 |
| Last Update Date | 2024-06-21 |