| NPI | 1083069074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERNET STALLWORTH President 407-461-7762 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based |
| 251E00000X Home Health | |
| 253Z00000X In Home Supportive Care | |
| 251F00000X Home Infusion | |
| 302R00000X Health Maintenance Organization | |
| 305R00000X Preferred Provider Organization | |
| 3747A0650X Technician, Attendant Care Provider | |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2016-04-27 |
| Last Update Date | 2020-07-16 |