NPI | 1518036300 |
---|---|
Other Name | B.O.L.A SERVICES |
Entity Type | Organization |
Authorized Contact | DEYON L WILLIAMS Owner Operator Administrator 727-768-5066 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
Enumeration Date | 2006-11-07 |
Last Update Date | 2020-08-22 |