| NPI | 1891839437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRYSTAL FASSOLD Administrator 772-466-9199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: FL NR30211217) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2020-08-22 |