| NPI | 1669245353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARDELL G MUSGROVE Administrator 954-708-4861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2023-11-03 |
| Last Update Date | 2024-08-26 |