| NPI | 1790122505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA L PANILAG Owner/Administrator 386-627-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: FL AL10049) |
| Enumeration Date | 2013-06-03 |
| Last Update Date | 2013-06-03 |