| NPI | 1285236091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATONYA ROUSE Owner 321-437-2673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251S00000X | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2020-11-16 |
| Last Update Date | 2020-11-16 |