| NPI | 1366802332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LASHAWN EZELL Owner 352-214-6634 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251C00000X |
| 251E00000X Home Health | |
| 251G00000X Hospice Care, Community Based | |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2017-04-12 |