| NPI | 1952941643 |
|---|---|
| Other Name | HOME CARE AGENCY |
| Entity Type | Organization |
| Authorized Contact | NATASHA JOSEPH Administration 786-587-4860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2020-01-09 |
| Last Update Date | 2020-06-05 |