| NPI | 1578097739 |
|---|---|
| Doing Business As | NONE |
| Entity Type | Organization |
| Authorized Contact | JESSIE M. PAYNE Owner/Operator 754-264-5264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: FL 232828) |
| Enumeration Date | 2017-04-14 |
| Last Update Date | 2017-04-14 |