| NPI | 1912308966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERNESTO MARIQUIT Owner/President 321-229-4168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: FL PT5636) |
| Additional Taxonomies | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: FL PT5636) |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2014-09-09 |