| NPI | 1588956320 |
|---|---|
| Doing Business As | NONE |
| Entity Type | Organization |
| Authorized Contact | EVELINE CHARLES Administrator/Owner 772-240-6636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: FL 151427) |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2011-05-12 |