| NPI | 1275190043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAYLA N GRIMSLEY Administrator 352-812-8447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 372600000X Adult Companion |
| Additional Taxonomies | 376J00000X Homemaker |
| Enumeration Date | 2019-05-28 |
| Last Update Date | 2020-03-17 |