| NPI | 1467992743 |
|---|---|
| Doing Business As | GROUP HOME |
| Entity Type | Organization |
| Authorized Contact | SHARON A JEFFRIES Owner 352-409-1271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 261QA0600X Clinic/Center, Adult Day Care (Licence: FL 261qa0600x) | |
| 347C00000X Private Vehicle (Licence: FL 347ooooox) | |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2017-03-06 |