| NPI | 1700301678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS I RODRIGUEZ Adm 407-350-5964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness | |
| 385H00000X Respite Care | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2017-08-11 |
| Last Update Date | 2022-07-21 |