| NPI | 1104636471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOVAN GLASGOW Owner 813-538-8190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 347E00000X Transportation Broker |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 251E00000X Home Health | |
| Enumeration Date | 2025-01-09 |
| Last Update Date | 2025-02-10 |