| NPI | 1902143621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMILA DAVISON Owner 813-789-1735 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: FL ME 114790) |
| Additional Taxonomies | 251K00000X Public Health or Welfare (Licence: FL ME 114790) |
| 251S00000X (Licence: FL ME 114790) | |
| Enumeration Date | 2013-01-15 |
| Last Update Date | 2013-01-22 |