NPI | 1366009508 |
---|---|
Entity Type | Organization |
Authorized Contact | TENESHIA HALL Owner 727-320-4820 |
Organization Subpart ? | No |
Primary Taxonomy | 251E00000X Home Health |
Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities |
Enumeration Date | 2019-05-23 |
Last Update Date | 2020-07-09 |