NPI | 1467446658 |
---|---|
Doing Business As | SUNCREST OMNI |
Entity Type | Organization |
Authorized Contact | JOSHUA L PROFFITT President 337-233-1307 |
Organization Subpart ? | No |
Primary Taxonomy | 251E00000X Home Health (Licence: FL 299992091) |
Enumeration Date | 2005-09-02 |
Last Update Date | 2024-05-24 |