| NPI | 1194580613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLIE JACKSON Owner/Provider 813-304-8251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| 251E00000X Home Health | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| 251G00000X Hospice Care, Community Based | |
| Enumeration Date | 2024-02-14 |
| Last Update Date | 2025-11-05 |