| NPI | 1679023147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANUEL FERNANDEZ CUERVO CEO 786-701-6007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: FL 234592) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: FL 234592) |
| 385H00000X Respite Care (Licence: FL 234592) | |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2016-10-21 |