| NPI | 1619331451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANELL S CODY Owner 863-585-0147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2023-06-29 |