| NPI | 1942809488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON N TURNER-ANDERSON President 813-995-5682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent |
| 163WP0808X Registered Nurse, Psych/Mental Health | |
| 251C00000X | |
| 251E00000X Home Health | |
| 253J00000X Foster Care Agency | |
| 253Z00000X In Home Supportive Care | |
| 261QH0100X Clinic/Center, Health Services | |
| 363L00000X Nurse Practitioner | |
| 364SL0600X Clinical Nurse Specialist, Long-Term Care | |
| 373H00000X Day Training/Habilitation Specialist | |
| 3747P1801X Technician, Personal Care Attendant | |
| 374U00000X Home Health Aide | |
| 376K00000X Nurse's Aide | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2020-10-24 |
| Last Update Date | 2024-05-16 |