| NPI | 1043966476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TESICA BARNES Administrator 407-756-9982 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider |
| Additional Taxonomies | 251J00000X Nursing Care |
| Enumeration Date | 2022-02-24 |
| Last Update Date | 2022-03-20 |