| NPI | 1952103731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GACIA WEISE Owner, Administrator 954-869-7950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider |
| Enumeration Date | 2025-03-25 |
| Last Update Date | 2025-03-25 |