| NPI | 1770981250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEOFFREY R FRASER Owner 321-288-0171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251E00000X Home Health (Licence: FL 299994152) |
| Enumeration Date | 2014-12-15 |
| Last Update Date | 2019-06-03 |