| NPI | 1598096604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUGIATU MANSARAY Administrtor/D.O.N 904-683-8666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: FL 299993654) |
| Enumeration Date | 2010-01-29 |
| Last Update Date | 2010-08-20 |