| NPI | 1760190771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INGRID BAZELAIS Manager 786-859-9465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2022-11-08 |
| Last Update Date | 2022-11-08 |