| NPI | 1720937782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIDGETTE L MOSS Owner 352-600-2733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 376J00000X Homemaker | |
| Enumeration Date | 2026-01-23 |
| Last Update Date | 2026-01-23 |