| NPI | 1023269354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY DEAN KELLEY CEO 863-701-9100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: FL 299992766) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care (Licence: FL 228316) |
| 253Z00000X In Home Supportive Care (Licence: FL 229362) | |
| 253Z00000X In Home Supportive Care (Licence: FL 230019) | |
| Enumeration Date | 2008-10-06 |
| Last Update Date | 2018-04-17 |