| NPI | 1215613906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA LEE DOUGALS Owner 813-730-6554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 385HR2055X Respite Care, Respite Care, Mental Illness, Child |
| 253Z00000X In Home Supportive Care | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 310400000X Assisted Living Facility | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness | |
| 385H00000X Respite Care | |
| Enumeration Date | 2023-06-26 |
| Last Update Date | 2023-06-26 |