| NPI | 1083453633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS DAVID GROTJOHAN Owner/Operator 954-261-7058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 372600000X Adult Companion |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2024-05-22 |
| Last Update Date | 2024-05-22 |