| NPI | 1568120277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA PITTMON Owner 813-317-0668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251G00000X Hospice Care, Community Based | |
| 251J00000X Nursing Care | |
| 253J00000X Foster Care Agency | |
| 253Z00000X In Home Supportive Care | |
| 261QA0600X Clinic/Center Adult Day Care | |
| 261QH0100X Clinic/Center Health Service | |
| 261QR0400X Clinic/Center Rehabilitation | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347B00000X Bus | |
| 347C00000X Private Vehicle | |
| 376G00000X Nursing Home Administrator | |
| 376J00000X Homemaker | |
| 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities | |
| Enumeration Date | 2021-11-30 |
| Last Update Date | 2021-11-30 |