| NPI | 1134905706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESHAE MARTIN Administrative Director 813-585-7708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2023-09-07 |
| Last Update Date | 2024-08-09 |