| NPI | 1326494105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAKINA LAKE Administrator 813-321-0440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: FL 234419) |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2016-05-10 |