| NPI | 1679112874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA JACKSON Owner 407-625-2478 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 163WA2000X Registered Nurse, Administrator | |
| 163WI0500X Registered Nurse, Infusion Therapy | |
| 163WW0000X Registered Nurse, Wound Care | |
| 374T00000X Religious Nonmedical Nursing Personnel | |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2020-01-06 |
| Last Update Date | 2020-01-06 |