| NPI | 1134948102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERGIO O GONGORA SARMIENTO Owner 786-536-7150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider |
| Enumeration Date | 2024-10-07 |
| Last Update Date | 2024-10-07 |