| NPI | 1699386037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIEMNY GONZALEZ LAGO President 239-745-7606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2020-08-10 |
| Last Update Date | 2020-08-10 |