| NPI | 1659899565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIQUITTA MATHIS Administrator 239-271-5909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child |
| Enumeration Date | 2017-08-31 |
| Last Update Date | 2022-07-21 |