| NPI | 1023843323 |
|---|---|
| Former Legal Business Name | OWNER |
| Entity Type | Organization |
| Authorized Contact | TAMESHA ROSHONDA GRAHAM Owner 850-591-0690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2024-09-05 |
| Last Update Date | 2024-09-05 |