| NPI | 1457023806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYSIA LANCE Executive Director 813-980-0309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child |
| Enumeration Date | 2021-10-04 |
| Last Update Date | 2021-10-04 |