| NPI | 1144538000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWENDOLYN B POTTER Managing Member 850-640-0178 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: FL 231164) |
| Enumeration Date | 2010-09-14 |
| Last Update Date | 2010-09-14 |