| NPI | 1598056905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VAUNA R. LAWRENCE Administrator 321-821-7793 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 251X00000X Supports Brokerage | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 251S00000X Community/Behavioral Health | |
| 251J00000X Nursing Care | |
| 251B00000X Case Management | |
| Enumeration Date | 2011-04-20 |
| Last Update Date | 2026-01-13 |