| NPI | 1285416511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDY VILSAINT Authorized Member 239-324-2746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2023-10-20 |
| Last Update Date | 2024-05-13 |