| NPI | 1619278256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLADYS A GAINES Executive Directoe/ Owner 863-443-7058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251E00000X Home Health | |
| 252Y00000X Early Intervention Provider Agency | |
| 253Z00000X In Home Supportive Care | |
| 343800000X Secured Medical Transport (VAN) | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| 347E00000X Transportation Broker | |
| Enumeration Date | 2010-11-13 |
| Last Update Date | 2010-11-13 |