| NPI | 1720616014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE N WILLINGHAM Ap RN 772-785-9419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care |
| Additional Taxonomies | 251E00000X Home Health |
| 251F00000X Home Infusion | |
| 261QI0500X Clinic/Center, Infusion Therapy | |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2020-03-31 |