| NPI | 1114515384 |
|---|---|
| Former Legal Business Name | JORDAN RIVER HOME HEALTH CARE, LLC |
| Entity Type | Organization |
| Authorized Contact | OSCAR LOPEZ MARTINEZ Owner/Administrator 786-397-8610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2021-01-04 |
| Last Update Date | 2024-12-12 |