NPI | 1619349347 |
---|---|
Entity Type | Organization |
Authorized Contact | DERYLENE G. PROCTOR Owner 850-544-3045 |
Organization Subpart ? | No |
Primary Taxonomy | 251B00000X Case Management |
Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
347C00000X Private Vehicle (Licence: FL P623-167-59-760-0) | |
Enumeration Date | 2015-10-21 |
Last Update Date | 2015-10-21 |