| NPI | 1649898842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANDRA PHILLIPS Owner 352-214-4750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X |
| Additional Taxonomies | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child |
| Enumeration Date | 2020-07-14 |
| Last Update Date | 2020-07-14 |