| NPI | 1649648965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ILENE SHUMAKER GRIFFIN Owner/Operator 863-709-6569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider |
| Additional Taxonomies | 251E00000X Home Health (Licence: FL 010431700) |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2015-09-02 |
| Last Update Date | 2025-08-05 |