| NPI | 1942834791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM FAIN Owner/ President 239-895-4324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-03-02 |
| Last Update Date | 2021-07-19 |