| NPI | 1104829696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA V SKEES Complaince 772-419-5524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: FL 21258096) |
| Additional Taxonomies | 251E00000X Home Health (Licence: FL 299991442) |
| 251E00000X Home Health (Licence: FL 21254095) | |
| 251E00000X Home Health (Licence: FL 21984096) | |
| 251E00000X Home Health (Licence: FL 299991370) | |
| 251E00000X Home Health (Licence: FL 299991644) | |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2025-09-23 |