| NPI | 1235179607 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | MARIO DARNELL DICKERSON Administrator 561-689-0445  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 251E00000X Home Health (Licence: FL 299992400)  | 
| Enumeration Date | 2006-06-07 | 
| Last Update Date | 2022-11-03 |