| NPI | 1871143982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRISH LORRAINE PORTER Owner/ Administrator 863-441-3919 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251J00000X Nursing Care |
| 261QD1600X Clinic/Center Developmental Disabilities | |
| 385H00000X Respite Care | |
| 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities | |
| 385HR2065X Respite Care Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2019-09-19 |
| Last Update Date | 2025-05-20 |