| NPI | 1174374011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL PAUL BAGBY CEO/Ambr 727-415-2308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 133NN1002X Nutritionist, Nutrition, Education | |
| 163WH0200X Registered Nurse, Home Health | |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine | |
| 208D00000X General Practice | |
| 261Q00000X Clinic/Center | |
| 261QR0800X Clinic/Center, Recovery Care | |
| 261QR1300X Clinic/Center, Rural Health | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2024-03-28 |
| Last Update Date | 2024-03-28 |