| NPI | 1205291911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENORA MICHELLE WALKER Owner 813-389-0628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: FL 692384496) |
| Additional Taxonomies | 251C00000X (Licence: FL 692384496) |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child (Licence: FL 692384496) | |
| Enumeration Date | 2015-12-22 |
| Last Update Date | 2015-12-22 |