| NPI | 1992167894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHRONDA ALLEN Director 352-256-8182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 372600000X Adult Companion |
| 376J00000X Homemaker (Licence: FL 233993) | |
| 376K00000X Nurse's Aide (Licence: FL 212625) | |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2022-03-03 |