| NPI | 1679714810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYRONE JOHNSON Officer Manager 941-425-3640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: NC HC2573) |
| Enumeration Date | 2009-03-18 |
| Last Update Date | 2009-03-18 |