| NPI | 1669889838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA PAYNE Owner/ Member 772-267-2652 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: NV NV20141426632) |
| Enumeration Date | 2014-07-18 |
| Last Update Date | 2014-07-18 |