| NPI | 1801696562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MESHA RUSSELL Administrator 786-367-6144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251B00000X Case Management |
| 251E00000X Home Health | |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| 385H00000X Respite Care | |
| Enumeration Date | 2025-03-13 |
| Last Update Date | 2025-03-13 |