| NPI | 1083362818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAUNA RAMOS Administrator 305-562-7884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2022-03-10 |
| Last Update Date | 2022-03-17 |