| NPI | 1346697463 |
|---|---|
| Former Legal Business Name | DENTRA GROUP, INC. |
| Entity Type | Organization |
| Authorized Contact | TRACEY-ANN ORTIZ President 407-202-8279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider |
| Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities |
| 163W00000X Registered Nurse | |
| 164W00000X Licensed Practical Nurse | |
| 251E00000X Home Health | |
| 251J00000X Nursing Care | |
| 253Z00000X In Home Supportive Care | |
| 372600000X Adult Companion | |
| 3747P1801X Technician, Personal Care Attendant | |
| 376J00000X Homemaker | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2022-10-10 |