| NPI | 1659729549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH MARIE MCKINSEY Co Owner 941-623-6878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: FL PN1358061) |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2016-06-01 |