| NPI | 1275030793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHYLLIS WRIGHT TYSON Ad Minisistrator 407-925-7237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251C00000X |
| 251E00000X Home Health | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2018-04-11 |