| NPI | 1780081273 |
|---|---|
| Doing Business As | STILL WATERS STUDIO |
| Entity Type | Organization |
| Authorized Contact | MARY E WHITE KURYLA Proprietor 863-940-3828 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: FL M73933) |
| Additional Taxonomies | 251E00000X Home Health (Licence: FL M73933) |
| 251S00000X (Licence: FL M73933) | |
| 305R00000X Preferred Provider Organization (Licence: FL M73933) | |
| Enumeration Date | 2014-11-26 |
| Last Update Date | 2014-11-26 |