| NPI | 1386308716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDACE RAJONDA DUCKING Owner 863-280-4230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 251E00000X Home Health |
| 251B00000X Case Management | |
| 385H00000X Respite Care | |
| Enumeration Date | 2021-10-21 |
| Last Update Date | 2021-10-21 |