| NPI | 1144092974 |
|---|---|
| Former Legal Business Name | N/A |
| Entity Type | Organization |
| Authorized Contact | DERRICKA BAKER Owner 863-210-1132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 376J00000X Homemaker |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2023-10-25 |
| Last Update Date | 2023-10-25 |