| NPI | 1710014956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA JEAN DURDEN Administrator 772-461-0999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: FL 30211250) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2020-08-22 |