| NPI | 1497105902 |
|---|---|
| Doing Business As | LENORA MAZON MED WAIVER & NURSING |
| Entity Type | Organization |
| Authorized Contact | LENORA MAZON Owner/ Administrative Coordinator 352-318-9681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2016-10-25 |