| NPI | 1447515812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE MARIE STONE Assistant Administrator 321-633-9730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: FL 30211549) |
| Additional Taxonomies | 251J00000X Nursing Care (Licence: FL 30211549) |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2023-05-09 |