| NPI | 1366207730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY OSAGHIE HICKS Chief Operations Officer 407-801-8991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 171W00000X Contractor |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 332U00000X Home Delivered Meals | |
| 347E00000X Transportation Broker | |
| Enumeration Date | 2024-02-15 |
| Last Update Date | 2024-02-15 |