NPI | 1457098022 |
---|---|
Doing Business As | SOUTHERN LIVE-IN OF BRANDON |
Entity Type | Organization |
Authorized Contact | MELONIE LIVE-IN OF BESSETTE O Wner 813-381-2406 |
Organization Subpart ? | No |
Primary Taxonomy | 251J00000X Nursing Care |
Enumeration Date | 2022-05-16 |
Last Update Date | 2022-05-16 |