| NPI | 1194416446 |
|---|---|
| Doing Business As | INDEPENDENT SUPPORT CARE SERVICE |
| Entity Type | Organization |
| Authorized Contact | NATWONA FULLER Owner 561-856-2081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2023-05-17 |
| Last Update Date | 2023-05-17 |