| NPI | 1881846418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVELYN AMANDA ROSARIO JACKSON Mgr 813-731-3250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home |
| 261QH0100X Clinic/Center, Health Services | |
| Enumeration Date | 2008-10-14 |
| Last Update Date | 2013-09-09 |