| NPI | 1104143486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY SKIPPER VP Of Operations 772-220-6005 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider |
| Enumeration Date | 2010-04-27 |
| Last Update Date | 2024-10-16 |