| NPI | 1962172395 |
|---|---|
| Former Legal Business Name | NA |
| Entity Type | Organization |
| Authorized Contact | MADELIN MARICHAL Owner 786-442-6465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities |
| 3747A0650X Technician, Attendant Care Provider | |
| Enumeration Date | 2021-09-16 |
| Last Update Date | 2023-08-23 |