| NPI | 1972365799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAVENEY GITTENS-WILLIAMS Assistant Administrator 813-966-7399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SL0600X Clinical Nurse Specialist, Long-Term Care |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251J00000X Nursing Care | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2024-01-26 |
| Last Update Date | 2024-01-26 |