| NPI | 1871147355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN GARY PEIRCE Owner 772-486-4870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2019-08-01 |
| Last Update Date | 2019-08-01 |