| NPI | 1457950479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NECOLE JAVAN DULING Nurse 863-808-3533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health |
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator |
| 172A00000X Driver | |
| 372600000X Adult Companion | |
| 376J00000X Homemaker | |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2020-10-21 |