| NPI | 1043732738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARSHA P MCGLOCKING Owner 386-627-5921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2017-07-13 |
| Last Update Date | 2022-07-21 |