NPI | 1225580103 |
---|---|
Doing Business As | EUGENIA MAYS |
Entity Type | Organization |
Authorized Contact | EUGENIA DELPHINE MAYS Provide Developmental Disabilities 941-580-0622 |
Organization Subpart ? | No |
Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: FL 231014) |
Enumeration Date | 2016-10-26 |
Last Update Date | 2016-10-26 |