| NPI | 1174098719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA WILLIAMS Owner/Operator 863-838-9337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251J00000X Nursing Care |
| 251S00000X | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2018-10-10 |
| Last Update Date | 2018-10-10 |