| NPI | 1306479563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA ROSEMARIE DAVIS Owner 772-626-4575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2020-02-17 |
| Last Update Date | 2021-07-01 |