| NPI | 1356498372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINNAH SKULA Director Of Billing 772-200-2760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: FL 299991206) |
| Additional Taxonomies | 251E00000X Home Health (Licence: FL 299991581) |
| 251E00000X Home Health (Licence: FL 299991378) | |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2016-02-23 |