| NPI | 1811704075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASMINE EDWARDS Manager 561-710-0624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 251E00000X Home Health |
| 251F00000X Home Infusion | |
| 251G00000X Hospice Care, Community Based | |
| 251J00000X Nursing Care | |
| 253Z00000X In Home Supportive Care | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 261QC1800X Clinic/Center, Corporate Health | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 332U00000X Home Delivered Meals | |
| 335G00000X Medical Foods Supplier | |
| Enumeration Date | 2024-12-11 |
| Last Update Date | 2024-12-11 |