| NPI | 1235759010 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | STEPHANIE CARRINGTON Administrator 727-498-8834 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 251E00000X Home Health | 
| Additional Taxonomies | 163W00000X Registered Nurse | 
| 164W00000X Licensed Practical Nurse | |
| 251J00000X Nursing Care | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 372600000X Adult Companion | |
| 3747P1801X Technician, Personal Care Attendant | |
| 374U00000X Home Health Aide | |
| 376J00000X Homemaker | |
| 385H00000X Respite Care | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2020-04-21 | 
| Last Update Date | 2020-04-21 |