| NPI | 1508475476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAYLISA JOHNSON Administrator 239-240-6721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 372600000X Adult Companion | |
| 376J00000X Homemaker | |
| Enumeration Date | 2020-07-27 |
| Last Update Date | 2020-09-04 |