| NPI | 1568738565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVONNE SAMUEL ADKINS Managing Member 352-591-9679 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Additional Taxonomies | 315P00000X Intermediate Care Facility, Mentally Retarded |
| 347C00000X Private Vehicle | |
| 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities | |
| Enumeration Date | 2012-03-24 |
| Last Update Date | 2012-03-24 |