| NPI | 1457709420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SLINA CARRERA Administrator 239-307-5311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 305S00000X Point of Service (Licence: FL NR30211784) |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2019-07-16 |