| NPI | 1881771095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OSCAR BRYAN KELLEY VILLANUEVA Co Owner 904-880-6591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: FL 999997328) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |