| NPI | 1861880973 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID WADE Owner 407-990-6333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2014-12-26 |
| Last Update Date | 2015-09-28 |