| NPI | 1316240195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY PACK Owner 352-583-3876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based (Licence: FL 693102296) |
| Enumeration Date | 2010-12-16 |
| Last Update Date | 2010-12-16 |