| NPI | 1316687031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANTA FERRELL Administrator 407-603-6992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251C00000X |
| 251J00000X Nursing Care | |
| 310400000X Assisted Living Facility | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 343800000X Secured Medical Transport (VAN) | |
| 163W00000X Registered Nurse | |
| 171M00000X Case Manager/Care Coordinator | |
| 251B00000X Case Management | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2022-03-30 |
| Last Update Date | 2022-03-30 |