| NPI | 1588555916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN MATTHEW NOLAN Registered Agent 321-578-2687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| 251E00000X Home Health | |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2025-07-14 |
| Last Update Date | 2025-07-14 |