| NPI | 1740805910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENDA THOMAS COLBERT President 352-553-8623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2020-06-12 |
| Last Update Date | 2020-06-16 |