| NPI | 1144345331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FERMIN ROLAND BACALSO ROTEA President 813-961-8262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: FL 109088) |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2014-03-05 |