| NPI | 1528069309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN GRIGGS CEO 407-206-0040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2005-08-03 |
| Last Update Date | 2022-07-21 |