# TAKITA S. HAYES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336347426
- **Authorized official:** MRS. TAKITA HAYES (OWNER)
- **Authorized official phone:** (352) 504-8964

## Contact information

- **Practice address:** 5024 GRASSY KNOLL DR, TAVARES, FL 32778-6211
- **Practice address phone:** (352) 504-8964
- **Mailing address:** 5024 GRASSY KNOLL DR, TAVARES, FL 32778-6211
- **Mailing address phone:** (352) 504-8964

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251C00000X | Developmentally Disabled Services Day Training Agency | — | FL | — |
| 251E00000X | Home Health Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 07/10/2007
- **Last updated:** 07/21/2022
