| NPI | 1710400627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RALPH DOUGLAS Administrator 941-705-8118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center Developmental Disabilities |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 372600000X Adult Companion | |
| Enumeration Date | 2017-07-23 |
| Last Update Date | 2022-11-05 |