| NPI | 1679773105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY KASKAVAGE Director Of Compliance 866-919-3240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: FL 299992794) |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2024-06-12 |