| NPI | 1558653204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS PARK Owner 407-434-0766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: FL 299993995) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care (Licence: FL 299993995) |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2015-09-21 |