| NPI | 1124378906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESHAWNDRE BRIDLEY CEO 407-271-5493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service |
| Additional Taxonomies | 251E00000X Home Health |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2012-09-19 |