| NPI | 1447148648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA LOCKETT Administrator 321-208-5094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 376J00000X Homemaker |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2025-06-25 |
| Last Update Date | 2025-06-25 |