| NPI | 1790194207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUTH N MATIAS PASTOR Administrator 786-368-6892 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider |
| Additional Taxonomies | 253Z00000X In Home Supportive Care (Licence: FL 233512) |
| Enumeration Date | 2014-08-08 |
| Last Update Date | 2023-08-30 |