| NPI | 1053693499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARLA SMITH Manager 800-718-4923 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2011-09-12 |
| Last Update Date | 2011-09-12 |