| NPI | 1376423400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEASIA BOMORT Owner 863-738-9493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 373H00000X Day Training/Habilitation Specialist |
| Additional Taxonomies | 172A00000X Driver |
| Enumeration Date | 2025-09-08 |
| Last Update Date | 2025-09-08 |