| NPI | 1811499627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACI L MIRON Owner 850-346-0352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: FL 30211952) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 30211952) |
| 163WH1000X Registered Nurse, Hospice (Licence: FL 3) | |
| 251E00000X Home Health (Licence: FL 30211952) | |
| 253Z00000X In Home Supportive Care (Licence: FL 30211952) | |
| 347C00000X Private Vehicle (Licence: FL 30211952) | |
| 363L00000X Nurse Practitioner (Licence: FL 30211952) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: FL 30211952) | |
| 372600000X Adult Companion (Licence: FL 30211952) | |
| 376J00000X Homemaker (Licence: FL 30211952) | |
| 376K00000X Nurse's Aide (Licence: FL 3) | |
| 385H00000X Respite Care (Licence: FL 30211952) | |
| 385H00000X Respite Care | |
| Enumeration Date | 2018-03-07 |
| Last Update Date | 2018-03-28 |