| NPI | 1063100113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIARRA ANTINIECE OSBORNE Owner 727-699-3225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 374U00000X Home Health Aide |
| Enumeration Date | 2023-04-26 |
| Last Update Date | 2023-05-25 |