NPI | 1871834846 |
---|---|
Doing Business As | ALL SEASON PERSONAL CARE HOME |
Entity Type | Organization |
Authorized Contact | MARQUITA SHUNTA SHINES Owner 352-653-0408 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
Additional Taxonomies | 311Z00000X Custodial Care Facility |
347C00000X Private Vehicle | |
Enumeration Date | 2013-03-15 |
Last Update Date | 2013-03-15 |