| NPI | 1225372261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY JANE HAGUE Treasurer 305-804-8781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747A0650X Technician Attendant Care Provider |
| Additional Taxonomies | 3747P1801X Technician Personal Care Attendant |
| 253Z00000X In Home Supportive Care (Licence: FL 30211597) | |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2025-01-23 |