| NPI | 1689972747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA VINSON Owner 352-215-9401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251J00000X Nursing Care | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2011-03-14 |
| Last Update Date | 2011-03-14 |