| NPI | 1477813806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA DENISE DARLING Cna/Owner/Administrator 352-602-0694 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: FL 16367232603) |
| Additional Taxonomies | 347C00000X Private Vehicle (Licence: FL 1636723603) |
| Enumeration Date | 2012-05-18 |
| Last Update Date | 2012-05-18 |