| NPI | 1922624857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA DEMETRIA RAWLS CEO 352-292-6355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| 3336M0002X Pharmacy, Mail Order Pharmacy | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2020-06-16 |
| Last Update Date | 2020-06-16 |