| NPI | 1619111317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUIDO ANIBAL GONZALEZ President 904-993-3866 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251C00000X |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2009-04-24 |
| Last Update Date | 2010-02-17 |