| NPI | 1700231198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVIDA ELVIRA TATE President 813-625-2981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: FL 232431) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: FL 232431) |
| 251E00000X Home Health (Licence: FL 232431) | |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2016-05-04 |