| NPI | 1245008739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRIS ANTON VICKERS Owner/Operator 407-283-9855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251S00000X | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2023-12-14 |
| Last Update Date | 2023-12-14 |