| NPI | 1871979575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORRAINE ADELE CALDWELL Owner 352-617-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: FL 001917900) |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2015-08-04 |