| NPI | 1801438288 |
|---|---|
| Former Legal Business Name | HOME CARE |
| Entity Type | Organization |
| Authorized Contact | OCTAVIA BOSTIC Administration 863-777-3846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Enumeration Date | 2019-10-17 |
| Last Update Date | 2021-05-07 |