| NPI | 1750711768 |
|---|---|
| Doing Business As | LIDEYSA CALLEJAS ADULT FAMILY CARE HOME |
| Entity Type | Organization |
| Authorized Contact | LIDEYSA CALLEJAS Owner 352-321-1880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: FL 6906577) |
| Enumeration Date | 2013-11-13 |
| Last Update Date | 2013-11-13 |