| NPI | 1215602040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCIANA BECKLES Administrator 386-295-5638 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2021-08-13 |
| Last Update Date | 2025-07-11 |