| NPI | 1922378132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA DAVIS Owner/Administrator 772-626-4969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: FL 231635) |
| Enumeration Date | 2012-01-04 |
| Last Update Date | 2012-01-04 |