| NPI | 1487803177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARRISON BACERRA Administrator / Owner 786-246-3669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2008-09-17 |