| NPI | 1558086629 |
|---|---|
| Former Legal Business Name | HEART OF CARRIE LLC |
| Entity Type | Organization |
| Authorized Contact | ANITA DIONNE JACKSON Administrator 386-264-1398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2022-10-11 |
| Last Update Date | 2024-02-22 |