| NPI | 1740931211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZIPPORAH TUCKER Owner 239-365-5045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2022-01-15 |
| Last Update Date | 2022-01-15 |