| NPI | 1649745399 |
|---|---|
| Other Name | KATIE HAYNES |
| Entity Type | Organization |
| Authorized Contact | KATIE HAYNES Owner Caregiver 727-276-2515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2018-10-09 |
| Last Update Date | 2020-01-15 |