| NPI | 1477089597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY FRANK WILLIAM FORD Owner 386-986-1920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: FL 299994708) |
| Additional Taxonomies | 251E00000X Home Health (Licence: FL 299994708) |
| 253Z00000X In Home Supportive Care (Licence: FL 234761) | |
| Enumeration Date | 2017-05-10 |
| Last Update Date | 2018-07-13 |