| NPI | 1992261549 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | CHLOE CLINIQUE EDWARDS Owner 352-484-6647 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 372600000X Adult Companion | 
| Additional Taxonomies | 251E00000X Home Health | 
| 253Z00000X In Home Supportive Care | |
| 3747A0650X Technician, Attendant Care Provider | |
| Enumeration Date | 2019-02-19 | 
| Last Update Date | 2022-11-01 |