| NPI | 1760896278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERRY TWIGGS Administrator 813-704-6918 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider |
| Additional Taxonomies | 253Z00000X In Home Supportive Care (Licence: FL 30211664) |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2023-01-30 |