| NPI | 1467792234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNATHAUN LEE Owner 954-479-9856 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: NC HC4238) |
| Additional Taxonomies | 251E00000X Home Health (Licence: NC HC4238) |
| Enumeration Date | 2013-02-15 |
| Last Update Date | 2013-06-19 |