| NPI | 1811760788 |
|---|---|
| Former Legal Business Name | IRENES LOVING CARE SERVICE LLC |
| Entity Type | Organization |
| Authorized Contact | ANGELICA WEBSTER Administrator 850-524-2598 |
| Organization Subpart ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Enumeration Date | 2023-11-02 |
| Last Update Date | 2023-11-03 |