| NPI | 1770807059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IBTISAM MUSTAFA Owner/Administrator 239-549-0022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care (Licence: FL NR3009-096) |
| Enumeration Date | 2010-03-16 |
| Last Update Date | 2010-03-16 |