| NPI | 1871132480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIMONE JACKSON Co Owner 561-601-7773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332U00000X Home Delivered Meals |
| Enumeration Date | 2019-12-30 |
| Last Update Date | 2019-12-30 |