| NPI | 1154430262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER COSTELLO Owner/Administrator 813-814-4025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: FL HHA299992484) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2013-10-11 |