| NPI | 1790113306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMINICA CAMPOS President 786-316-5224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: FL 230135) |
| Enumeration Date | 2013-10-16 |
| Last Update Date | 2015-07-28 |