| NPI | 1073115127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENTRELL LAMAR EDWARDS Owner 561-236-0021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2020-11-13 |
| Last Update Date | 2020-11-13 |