NPI | 1407335474 |
---|---|
Entity Type | Organization |
Authorized Contact | LUKISHA N KING Executive Director 352-354-3656 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
Additional Taxonomies | 251E00000X Home Health |
253Z00000X In Home Supportive Care | |
3747P1801X Technician Personal Care Attendant | |
385HR2055X Respite Care Respite Care, Mental Illness, Child | |
385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities | |
385HR2065X Respite Care Respite Care, Physical Disabilities, Child | |
Enumeration Date | 2018-08-10 |
Last Update Date | 2018-08-10 |