| NPI | 1255562070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD JEROME PORTER RN/Director 352-368-9036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care (Licence: FL RN2681892) |
| Additional Taxonomies | 251300000X Local Education Agency (LEA) |
| 253Z00000X In Home Supportive Care | |
| 311ZA0620X Custodial Care Facility Adult Care Home | |
| 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities | |
| Enumeration Date | 2009-07-28 |
| Last Update Date | 2009-07-28 |