| NPI | 1598725400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STUART R RUSSELL Vice President 561-863-7055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: FL 299991136) |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: FL 090634) |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2010-09-10 |