| NPI | 1851260137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR NKWOCHA Administrator 321-202-3242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251B00000X Case Management |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251J00000X Nursing Care | |
| 251S00000X Community/Behavioral Health | |
| 253Z00000X In Home Supportive Care | |
| 251300000X Local Education Agency (LEA) | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 347C00000X Private Vehicle | |
| 385H00000X Respite Care | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| 342000000X Transportation Network Company | |
| 343800000X Secured Medical Transport (VAN) | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2025-11-04 |
| Last Update Date | 2025-11-04 |