| NPI | 1922564319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYE ANGLIN Owner 863-604-4591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 261QD1600X Clinic/Center Developmental Disabilities |
| Enumeration Date | 2019-02-11 |
| Last Update Date | 2022-03-02 |