| NPI | 1588101372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BALDWIN PETERKIN Owner 863-257-7011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities (Licence: FL 234773) |
| Enumeration Date | 2017-01-31 |
| Last Update Date | 2020-10-06 |