| NPI | 1780257261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA HOLMES Director Of Nursing 772-418-7699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 253Z00000X In Home Supportive Care | |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2021-07-21 |
| Last Update Date | 2022-09-01 |