| NPI | 1740792597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMADOR REYES Administrator 786-253-7699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 261QH0100X Clinic/Center Health Service (Licence: FL PENDING) |
| 261QP2000X Clinic/Center Physical Therapy | |
| Enumeration Date | 2017-11-02 |
| Last Update Date | 2018-06-16 |