| NPI | 1689907933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AVIS SPRADLEY STEPHENS Administrator 561-304-4478 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: FL 299993567) |
| Enumeration Date | 2009-09-17 |
| Last Update Date | 2009-09-18 |