| NPI | 1508521162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE MARIE AWOYALE Owner/Administrator 321-263-1954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| 251J00000X Nursing Care | |
| 251S00000X | |
| 253Z00000X In Home Supportive Care | |
| 347C00000X Private Vehicle | |
| 385H00000X Respite Care | |
| Enumeration Date | 2021-11-08 |
| Last Update Date | 2021-11-08 |