NPI | 1275731549 |
---|---|
Entity Type | Organization |
Authorized Contact | FELECIA MICHELLE FREEMAN Owner 352-346-5855 |
Organization Subpart ? | No |
Primary Taxonomy | 251E00000X Home Health (Licence: FL 233036) |
Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: FL 008951900) |
Enumeration Date | 2007-07-06 |
Last Update Date | 2015-12-08 |