| NPI | 1881462166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN ALEJANDRO REYES RINCON President 813-504-1149 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider |
| Additional Taxonomies | 251E00000X Home Health |
| 251J00000X Nursing Care | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2023-12-15 |
| Last Update Date | 2024-06-28 |