| NPI | 1386970846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENA ARLENE BAKER Oner 772-696-3189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: FL 001173600) |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2009-10-19 |
| Last Update Date | 2009-10-19 |