| NPI | 1720352230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AYASHA L'DAIRE WILLIAMS-SHARRON Owner 866-301-4762 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081H0002X Physical Medicine & Rehabilitation Hospice and Palliative Medicine (Licence: MD D0070038) |
| Enumeration Date | 2012-03-01 |
| Last Update Date | 2015-07-15 |