| NPI | 1992414023 |
|---|---|
| Other Name | BOSS 1 LLC |
| Entity Type | Organization |
| Authorized Contact | MARGARET A SIMON Admoinistrator 813-516-2823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2022-11-17 |
| Last Update Date | 2022-11-17 |