| NPI | 1558965251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAMILLE JENKINS President 352-301-3147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 373H00000X Day Training/Habilitation Specialist |
| Additional Taxonomies | 3747P1801X Technician Personal Care Attendant |
| 251S00000X Community/Behavioral Health | |
| 385H00000X Respite Care | |
| 253J00000X Foster Care Agency | |
| 253Z00000X In Home Supportive Care | |
| 347C00000X Private Vehicle | |
| 372600000X Adult Companion | |
| 163W00000X Registered Nurse | |
| 163WC1500X Registered Nurse Community Health | |
| 164W00000X Licensed Practical Nurse | |
| 172V00000X Community Health Worker | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251E00000X Home Health | |
| 251J00000X Nursing Care | |
| Enumeration Date | 2020-11-24 |
| Last Update Date | 2021-09-17 |