| NPI | 1689136194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERCIA L COLLARD Administrator/Owner 407-924-3979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2019-04-03 |
| Last Update Date | 2019-04-03 |