| NPI | 1700667383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESHAE MARTIN Chief Executive Officer 813-938-0040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251J00000X Nursing Care |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2023-10-10 |
| Last Update Date | 2023-10-10 |