| NPI | 1891665808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHASITY PHILLIPS Owner/Administrator 352-514-4536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 253Z00000X In Home Supportive Care | |
| 311Z00000X Custodial Care Facility | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 385H00000X Respite Care | |
| Enumeration Date | 2025-11-06 |
| Last Update Date | 2025-11-06 |