| NPI | 1952911836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MIKKELSEN Pres/Tres 850-261-0659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251J00000X Nursing Care |
| Enumeration Date | 2020-08-05 |
| Last Update Date | 2020-08-05 |