| NPI | 1588334296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AISEL RODRIGUEZ Owner 813-442-2109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251F00000X Home Infusion |
| 251J00000X Nursing Care | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 261QH0100X Clinic/Center, Health Services | |
| 305S00000X Point of Service | |
| 313M00000X Nursing Facility/Intermediate Care Facility | |
| 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric | |
| 385H00000X Respite Care | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2021-09-14 |
| Last Update Date | 2021-09-28 |