| NPI | 1720753767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LA'QUISHA JOHNSON Owner 352-256-6789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251E00000X Home Health | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2021-08-11 |
| Last Update Date | 2021-08-11 |