| NPI | 1689957698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS C LAKE Vice President 813-526-3019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: FL 232253) |
| Enumeration Date | 2011-09-26 |
| Last Update Date | 2011-09-26 |