| NPI | 1851587802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWIN JUEN CORDERO Administrator 239-596-9477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: FL 299992163) |
| Enumeration Date | 2007-09-23 |
| Last Update Date | 2007-09-23 |