| NPI | 1861926909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRYL A MATHIS Owner/ Administrator 941-704-2078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: FL 234797) |
| Additional Taxonomies | 372600000X Adult Companion (Licence: FL 234797) |
| 376J00000X Homemaker (Licence: FL 234797) | |
| Enumeration Date | 2017-04-15 |
| Last Update Date | 2019-07-24 |