| NPI | 1316544760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JHONNARRI GRAY Vice President 561-569-6152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251B00000X Case Management |
| 251J00000X Nursing Care | |
| 253Z00000X In Home Supportive Care | |
| 302F00000X Exclusive Provider Organization | |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| 385HR2050X Respite Care, Respite Care Camp | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2020-10-07 |
| Last Update Date | 2021-10-08 |