| NPI | 1043653520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESHAWNDRE DENISE BRIDLEY Owner/Pharmacist 407-271-5493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 310400000X Assisted Living Facility | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2013-04-15 |
| Last Update Date | 2013-04-15 |