| NPI | 1053932624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERLLEN MARTINEZ CEO 305-457-6226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2020-05-05 |
| Last Update Date | 2020-05-05 |