| NPI | 1649153578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIUREL CORDOBA CEO 910-578-9235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2025-07-29 |
| Last Update Date | 2026-02-02 |