| NPI | 1295111201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIVIAN ORTEGA Administrator 239-285-1392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care |
| Additional Taxonomies | 251E00000X Home Health |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2015-08-03 |