| NPI | 1275065112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONTAVIUS MONQUEZ LOGAN Owner/CEO 786-779-4726 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: FL 234700) |
| Additional Taxonomies | 251E00000X Home Health (Licence: FL 234700) |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2017-03-30 |