| NPI | 1265015929 |
|---|---|
| Doing Business As | FASS |
| Entity Type | Organization |
| Authorized Contact | DOMINIQUE N WOULLARD CEO 850-358-6175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2021-04-30 |
| Last Update Date | 2022-07-29 |