| NPI | 1851025472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA MAYO Owner/Vice President 386-344-1422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 183500000X Pharmacist |
| 225200000X Physical Therapy Assistant | |
| Enumeration Date | 2022-07-11 |
| Last Update Date | 2022-07-11 |