| NPI | 1053746099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAZEL JEAN WRIGHT Owner 863-680-1223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: FL 30211294) |
| Additional Taxonomies | 251J00000X Nursing Care (Licence: FL 30211294) |
| Enumeration Date | 2013-09-10 |
| Last Update Date | 2013-09-10 |