| NPI | 1891221065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN MCLEAN Executive Director 813-528-6979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Additional Taxonomies | 251E00000X Home Health |
| 253Z00000X In Home Supportive Care | |
| 3104A0625X Assisted Living Facility Assisted Living, Mental Illness | |
| 347C00000X Private Vehicle | |
| 385HR2065X Respite Care Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2017-05-10 |
| Last Update Date | 2017-05-11 |