| NPI | 1295510204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNIE A SETTLES Owner 813-300-6135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 261QD1600X Clinic/Center Developmental Disabilities | |
| 261QV0200X Clinic/Center VA | |
| 282E00000X Long Term Care Hospital | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 385H00000X Respite Care | |
| 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities | |
| Enumeration Date | 2023-08-28 |
| Last Update Date | 2024-09-23 |