| NPI | 1134825565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIKER NEAL Managing Member/ Administrator 772-774-7674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care |
| Additional Taxonomies | 251E00000X Home Health |
| 3747A0650X Technician, Attendant Care Provider | |
| Enumeration Date | 2023-02-07 |
| Last Update Date | 2023-02-07 |