| NPI | 1790157279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSELINE SIMON-DESRAMEAUX Owner 239-848-7764 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2015-10-23 |
| Last Update Date | 2015-10-23 |