| NPI | 1932551835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIZ VANESSA VELAZQUEZ MCKINNON Administrator 561-268-2531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: FL 30211899) |
| Additional Taxonomies | 261QD1600X Clinic/Center Developmental Disabilities (Licence: FL 30211899) |
| Enumeration Date | 2016-07-05 |
| Last Update Date | 2021-03-03 |