| NPI | 1831593334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN KYLE DUNN-CONROW Tcm Supervisor 727-201-7979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| 252Y00000X Early Intervention Provider Agency | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2014-10-14 |
| Last Update Date | 2014-10-14 |