| NPI | 1871104992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KUDZANAYI H MUSHAURWI Administrator 386-717-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251J00000X Nursing Care |
| 253Z00000X In Home Supportive Care | |
| 385H00000X Respite Care | |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2020-08-12 |