| NPI | 1730872508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL GIRESI Owner 727-505-9877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2023-05-30 |
| Last Update Date | 2024-08-12 |