| NPI | 1104125293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAFREDA DELORIS MARTIN Owner 352-629-3395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 372500000X Chore Provider |
| 372600000X Adult Companion | |
| 374700000X Technician | |
| 3747A0650X Technician, Attendant Care Provider | |
| 3747P1801X Technician, Personal Care Attendant | |
| 376J00000X Homemaker | |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2011-03-15 |
| Last Update Date | 2011-03-15 |