| NPI | 1770096802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAKICCIA DUNNAGAN Administrator 813-415-5221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2017-11-11 |
| Last Update Date | 2017-12-24 |