| NPI | 1609099084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA ELAINE ELDRED Administrator 772-600-2648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: FL 299992402) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-08-22 |