| NPI | 1376245381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IDONGESIT E JOSEPH Registered Nurse 813-616-0446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health |
| Enumeration Date | 2023-03-21 |
| Last Update Date | 2023-05-08 |