| NPI | 1841808680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRELL SHINTARA MARTIN Owner 561-257-7092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2020-07-17 |
| Last Update Date | 2020-07-17 |