| NPI | 1609154392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHENEATHA LUSHANN JOHNSON Owner 850-630-8596 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: FL L11000012762) |
| Enumeration Date | 2011-07-28 |
| Last Update Date | 2011-07-28 |