| NPI | 1871357590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERENA STEWART Owner 352-480-6314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251V00000X Voluntary or Charitable |
| 253Z00000X In Home Supportive Care | |
| 310400000X Assisted Living Facility | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| 385H00000X Respite Care | |
| Enumeration Date | 2024-02-13 |
| Last Update Date | 2024-04-17 |