| NPI | 1548620412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONSHAI L DAVIS Owner 727-563-4347 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: FL 233698) |
| Additional Taxonomies | 251E00000X Home Health (Licence: FL 233571) |
| Enumeration Date | 2016-03-04 |
| Last Update Date | 2016-03-04 |