| NPI | 1639448723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZETTE DENISE MILEY-PEARSON Owner/Manager 904-525-2918 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251E00000X Home Health (Licence: FL 103413CNA) |
| Additional Taxonomies | 174400000X Specialist (Licence: 641306NCMA) |
| Enumeration Date | 2011-12-20 |
| Last Update Date | 2011-12-20 |