| NPI | 1831658889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIQUE BRYANT Administrator 407-222-3058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 251B00000X Case Management |
| 251E00000X Home Health | |
| 251J00000X Nursing Care | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QP2300X Clinic/Center, Primary Care | |
| 174200000X Meals | |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2019-03-19 |