| NPI | 1649865395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY STEPHENS Owner 407-946-1134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2021-03-04 |
| Last Update Date | 2021-03-04 |