| NPI | 1275125973 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HASHANNAH LEWIS Owner/CEO 813-403-8296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 320700000X Residential Treatment Facility, Physical Disabilities | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2021-02-04 |
| Last Update Date | 2021-02-04 |