| NPI | 1740997329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODERICK D HOLLOMON Phlebotomist 954-907-0920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 174200000X Meals |
| 332U00000X Home Delivered Meals | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2022-11-02 |
| Last Update Date | 2022-11-02 |