| NPI | 1881087328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEN TIFFANY WILSON CEO 407-963-9490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2015-03-09 |
| Last Update Date | 2015-03-09 |