| NPI | 1871959254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIGFRED MARQUEZ CEO 407-694-2998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility Adult Care Home |
| 320700000X Residential Treatment Facility, Physical Disabilities | |
| Enumeration Date | 2016-01-14 |
| Last Update Date | 2016-01-14 |