| NPI | 1245764323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTOINETTE NICOLE JOSUE Administrator 772-465-5220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: FL 30211844) |
| Enumeration Date | 2017-04-17 |
| Last Update Date | 2017-04-17 |