| NPI | 1164174751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWENDOLYN LEE COOK President/Admin 941-681-4066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2022-01-25 |
| Last Update Date | 2022-01-25 |