| NPI | 1457760548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YENIS FOYO Administrator 239-228-5814 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: FL 299994327) |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2014-08-04 |
| Last Update Date | 2017-02-27 |