| NPI | 1043909096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEFER MEDINA Administrator/President 786-345-6505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747A0650X Technician Attendant Care Provider |
| Enumeration Date | 2023-05-04 |
| Last Update Date | 2023-05-04 |