| NPI | 1487421707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TWANDA NICOLE MORRIS Manager 813-391-8174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical |
| 253Z00000X In Home Supportive Care | |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| Enumeration Date | 2023-12-06 |
| Last Update Date | 2023-12-19 |