| NPI | 1598508103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIJUANA DEBOSE Owner 813-562-9074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 3747A0650X Technician, Attendant Care Provider |
| 3747P1801X Technician, Personal Care Attendant | |
| 376J00000X Homemaker | |
| Enumeration Date | 2024-06-13 |
| Last Update Date | 2024-06-14 |