| NPI | 1417024472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNE S NEWCOMB Provider 727-667-4958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253J00000X Foster Care Agency (Licence: FL 37193FC) |
| Additional Taxonomies | 251E00000X Home Health (Licence: FL 229837) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2020-05-21 |