| NPI | 1467640102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TREVA L THARPE Owner 813-635-0878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: FL 692712296) |
| Additional Taxonomies | 251E00000X Home Health (Licence: FL 692712298) |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2007-10-09 |