| NPI | 1235573403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAINT V. PAYEN Administrator 813-400-7991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: FL 233304) |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
| 251E00000X Home Health (Licence: FL 4299) | |
| 305R00000X Preferred Provider Organization | |
| 302R00000X Health Maintenance Organization | |
| Enumeration Date | 2013-04-18 |
| Last Update Date | 2013-10-24 |