| NPI | 1497879027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WESLEY R JONES Administrator 305-818-0066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: FL 299992678) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: FL 800021994) |
| 291U00000X Clinical Medical Laboratory (Licence: FL 10D1063451) | |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2008-03-17 |