| NPI | 1922467851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANELL S CODY Owner 863-585-0147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2016-02-20 |
| Last Update Date | 2023-06-29 |