| NPI | 1669114591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEN L FERGUSON Owner 863-513-2847 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 251E00000X Home Health |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2022-04-11 |
| Last Update Date | 2022-04-11 |