| NPI | 1700247137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CURTIS EUGENE BRIDGES Administrator 850-508-3397 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: FL 234334) |
| Additional Taxonomies | 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities (Licence: FL 234334) |
| Enumeration Date | 2016-03-13 |
| Last Update Date | 2016-03-13 |