| NPI | 1245612365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ELLEN GRANT CEO 407-423-5311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: FL 339) |
| Additional Taxonomies | 385H00000X Respite Care (Licence: FL 339) |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2015-07-18 |