| 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 |