| NPI | 1306571328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | URSULE THAMARA TANIS Vice President/Administrator 239-601-7326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2022-07-22 |
| Last Update Date | 2023-02-07 |