| NPI | 1235607532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTY OFORI Manager 727-742-9004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 314000000X Skilled Nursing Facility | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2018-11-05 |
| Last Update Date | 2018-11-05 |