| NPI | 1477278232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASSANDRA VIRGINIA SIMPSON Director 813-810-6844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| 251J00000X Nursing Care | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 261QH0100X Clinic/Center, Health Services | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2022-10-04 |
| Last Update Date | 2022-10-04 |