| NPI | 1578774543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRYSTAL BAKER FASSOLD Administrator 772-466-9199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: FL NR30211217) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2008-08-13 |