| NPI | 1306322615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LASONDRIA KING Owner/Administrator 813-841-7368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 385H00000X Respite Care | |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2019-04-17 |