| NPI | 1962883371 |
|---|---|
| Doing Business As | LATASHA WALTERS JACKSON |
| Entity Type | Organization |
| Authorized Contact | LATASHA WALTERS JACKSON Executive Director 727-222-5317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: FL 233771) |
| Additional Taxonomies | 251E00000X Home Health |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2020-04-12 |