| NPI | 1730683509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATASHA SUMMERS Owner/Provider 321-339-6022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 376J00000X Homemaker (Licence: FL 235195) |
| Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities (Licence: FL 024036800) |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2018-03-19 |