| NPI | 1437824166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NETRENA WILSON Administrator 407-610-9002 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| 385H00000X Respite Care | |
| Enumeration Date | 2021-08-13 |
| Last Update Date | 2021-08-13 |