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 Day Training, Developmentally Disabled Services (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 |