| NPI | 1134880255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON J PLUMMER-YOUNG Administrator 863-215-2212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747A0650X Technician Attendant Care Provider |
| Enumeration Date | 2022-01-02 |
| Last Update Date | 2022-01-02 |