| NPI | 1730371899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEN ALICIA PANTOJA Physical Therapist Assistant 813-943-5289 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: NY 0028101) |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: NY 0028101) |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2007-08-13 |