| NPI | 1861758732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINNAH SKULA Director Of Billing 772-200-2760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: FL 299991378) |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2016-02-08 |