| NPI | 1811783350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOMEKA GOODMAN Owner 321-490-1649 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 246RP1900X Technician, Pathology, Phlebotomy |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2025-04-18 |
| Last Update Date | 2025-05-22 |