| NPI | 1598272171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA LASHAWN MILES Owner 813-410-6055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 376K00000X Nurse's Aide |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| 372600000X Adult Companion | |
| 374U00000X Home Health Aide | |
| 376J00000X Homemaker | |
| Enumeration Date | 2018-01-04 |
| Last Update Date | 2018-01-04 |