| NPI | 1831611375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARLENE VIRGINIA GORDON Ap RN, Fnp Bc 407-795-7705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LC1500X Nurse Practitioner, Community Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 385H00000X Respite Care | |
| Enumeration Date | 2017-07-15 |
| Last Update Date | 2022-11-19 |