| NPI | 1356901656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER OSAS Managing Director 813-579-0169 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2019-06-18 |