| NPI | 1467797621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACE WALTER President & Administrator 772-621-2988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: FL NR30211606) |
| Additional Taxonomies | 251E00000X Home Health (Licence: FL NR30211606) |
| 251F00000X Home Infusion (Licence: FL NR30211606) | |
| 251J00000X Nursing Care (Licence: FL NR30211606) | |
| Enumeration Date | 2012-11-29 |
| Last Update Date | 2012-11-29 |