| NPI | 1427716976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKENYA LATANZA GREEN Sole Owner 813-580-6363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2021-12-01 |
| Last Update Date | 2022-01-14 |