| NPI | 1699037697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROCK BLUE Administrator / President 561-721-6453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 3747A0650X Technician, Attendant Care Provider |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2024-09-17 |