| NPI | 1770890238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMINICA CAMPOS President 786-316-5224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: FL HCBS000287900) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: FL FSL000287901) |
| Enumeration Date | 2010-09-05 |
| Last Update Date | 2010-09-05 |