| NPI | 1538828116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMONDA SHEKENYA JOHNSON Owner 863-605-5354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251F00000X Home Infusion |
| 251J00000X Nursing Care | |
| 251K00000X Public Health or Welfare | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2021-12-10 |
| Last Update Date | 2022-11-30 |