| NPI | 1881911956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAVRICK ONIEL WHITMORE Owner 786-357-2976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: FL 231607) |
| Enumeration Date | 2010-04-28 |
| Last Update Date | 2010-04-28 |