| NPI | 1528539053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN MAURICE HENDLEY Owner 813-493-1516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 251300000X Local Education Agency (LEA) |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251F00000X Home Infusion | |
| 251S00000X | |
| 251X00000X | |
| 253Z00000X In Home Supportive Care | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| 347E00000X Transportation Broker | |
| 385H00000X Respite Care | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2018-12-10 |
| Last Update Date | 2018-12-12 |