| NPI | 1427417419 |
|---|---|
| Former Legal Business Name | KEMISHA MATHIS |
| Entity Type | Organization |
| Authorized Contact | KEMISHA LATOYA MATHIS Ower 850-851-6261 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2016-02-18 |
| Last Update Date | 2016-02-18 |