NPI | 1598036063 |
---|---|
Former Legal Business Name | A WISE CHOICE FL |
Entity Type | Organization |
Authorized Contact | DIANA CAROL JACKSON Owner/Manager 561-526-3950 |
Organization Subpart ? | No |
Primary Taxonomy | 171W00000X Contractor |
Enumeration Date | 2012-01-15 |
Last Update Date | 2014-06-16 |