| NPI | 1801288527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL A. OSGOOD Owner 386-697-1156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2015-03-04 |
| Last Update Date | 2015-03-04 |