| NPI | 1902541857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHUTAMA WILLIAMS Owner 352-260-5952 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| 347C00000X Private Vehicle | |
| 385H00000X Respite Care | |
| Enumeration Date | 2022-05-04 |
| Last Update Date | 2022-05-05 |