| NPI | 1104338482 |
|---|---|
| Other Name | KELLI VILA-ROSA |
| Entity Type | Organization |
| Authorized Contact | KELLI T VILA-ROSA Owner 855-635-6508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251F00000X Home Infusion (Licence: AL 1-147475) |
| Additional Taxonomies | 251E00000X Home Health (Licence: AL 1-147465) |
| Enumeration Date | 2017-10-26 |
| Last Update Date | 2018-06-16 |