| NPI | 1700277696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL JAMES Owner 239-265-6295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: FL CERTIFICATENUMBER304) |
| Additional Taxonomies | 372500000X Chore Provider |
| 372600000X Adult Companion | |
| 376J00000X Homemaker | |
| Enumeration Date | 2015-02-12 |
| Last Update Date | 2015-02-12 |