| NPI | 1932949328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EBONY SHEPPARD Owner/Operater 352-562-6940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 251E00000X Home Health |
| 253Z00000X In Home Supportive Care | |
| 385H00000X Respite Care | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2024-05-31 |
| Last Update Date | 2024-08-12 |