| NPI | 1457762403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN M. KETTELSON Director 239-250-2889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: FL 299994241) |
| Additional Taxonomies | 251E00000X Home Health (Licence: FL 299994241) |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2015-03-17 |