| NPI | 1073710109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RIKESHA BLAKE CFO 407-629-7881 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251E00000X Home Health |
| 261Q00000X Clinic/Center | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2022-02-14 |