| NPI | 1811612674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASSANDRA VIRGINIA SIMPSON Administrator 813-810-6844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 261QH0100X Clinic/Center Health Service | |
| Enumeration Date | 2022-10-04 |
| Last Update Date | 2022-10-04 |