| NPI | 1679833602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMALA BIVINS President 352-748-3130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: FL 692949496) |
| Enumeration Date | 2012-05-24 |
| Last Update Date | 2012-05-24 |