| NPI | 1073487666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHONDRICA HOWARD CEO 321-663-4897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness | |
| 332BD1200X Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies | |
| Enumeration Date | 2025-10-06 |
| Last Update Date | 2025-10-15 |