| NPI | 1750680187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA MCCUTCHEON Med Waiver Provider 352-895-4117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: FL 688486598) |
| Additional Taxonomies | 251C00000X (Licence: FL 688486598) |
| Enumeration Date | 2011-03-24 |
| Last Update Date | 2011-03-24 |