| NPI | 1548618234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL GEORGE CLEVELEY Nurse Practitioner Provider/Mgr 863-202-3580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2016-06-02 |