| NPI | 1497014195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTOINETTE MARIE RICH-PAYNE Treasure 863-409-1835 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: FL CNA190825) |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2012-05-15 |