| NPI | 1629677265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHADIJAH MAGEE Owner 407-879-3912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Additional Taxonomies | 251E00000X Home Health |
| 251J00000X Nursing Care | |
| 251S00000X Community/Behavioral Health | |
| 253Z00000X In Home Supportive Care | |
| 261QH0100X Clinic/Center Health Service | |
| 385H00000X Respite Care | |
| Enumeration Date | 2020-10-24 |
| Last Update Date | 2020-10-24 |