| NPI | 1902471550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QUINTON WILSON Owner 863-409-1135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| 376J00000X Homemaker | |
| Enumeration Date | 2021-05-25 |
| Last Update Date | 2022-01-20 |