| NPI | 1326744053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL J RODGERS Owner 863-287-1519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 385H00000X Respite Care |
| 374U00000X Home Health Aide | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 373H00000X Day Training/Habilitation Specialist | |
| Enumeration Date | 2023-02-03 |
| Last Update Date | 2025-11-19 |