| NPI | 1548881931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WANDRETTA L DUDLEY Owner 352-787-4997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251E00000X Home Health | |
| 261QD1600X Clinic/Center Developmental Disabilities | |
| 310500000X Intermediate Care Facility, Mental Illness | |
| 313M00000X Nursing Facility/Intermediate Care Facility | |
| 315P00000X Intermediate Care Facility, Mentally Retarded | |
| 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 335G00000X Medical Foods Supplier | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347B00000X Bus | |
| 347C00000X Private Vehicle | |
| 385H00000X Respite Care | |
| 385HR2065X Respite Care Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2020-04-27 |
| Last Update Date | 2020-04-27 |