| NPI | 1962021550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEQUOIA FONSECA Director 407-952-5471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 251J00000X Nursing Care | |
| 251S00000X Community/Behavioral Health | |
| 313M00000X Nursing Facility/Intermediate Care Facility | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2020-04-13 |
| Last Update Date | 2020-04-13 |