| NPI | 1639680176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATOSHA FORD President/ Owner 863-614-3167 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 174200000X |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2017-10-23 |
| Last Update Date | 2022-11-03 |