| NPI | 1174689632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA LORENE SELIG Billing Coordinator 904-519-9233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: FL 299991616) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2020-08-22 |