| NPI | 1003976705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTI JACKSON Director Of Clinical Services 941-257-4285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: AZ HHA4225) |
| Additional Taxonomies | 302R00000X Health Maintenance Organization (Licence: AZ L13170568) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2022-12-12 |