| NPI | 1629243050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REYNALDO BASILA Administrator 813-355-4804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: FL 299993638) |
| Additional Taxonomies | 251E00000X Home Health (Licence: FL n/a) |
| Enumeration Date | 2008-04-27 |
| Last Update Date | 2014-10-13 |