| NPI | 1700910106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERONICA WALLACE Alternate Administrator D O N 954-933-0514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: FL 299992130) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2020-08-22 |