| NPI | 1447624762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIEDRE SMITH Owner 813-751-4718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 253Z00000X In Home Supportive Care (Licence: FL 251S00000X) | |
| Enumeration Date | 2015-11-24 |
| Last Update Date | 2015-11-24 |