| NPI | 1003580580 |
|---|---|
| Former Legal Business Name | 5 STAR HOME LIVING HEALTHCARE LLC |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE Y CARDONA Owner 407-242-0830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care |
| Enumeration Date | 2021-08-06 |
| Last Update Date | 2021-08-06 |