| NPI | 1154698603 |
|---|---|
| Doing Business As | HOME HEALTH AUTHORITY |
| Entity Type | Organization |
| Authorized Contact | BERNARD RAYMOND PRUDENCIO President/CEO 904-388-4558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2011-11-29 |
| Last Update Date | 2011-11-29 |