| NPI | 1962742635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIE B GREEN Owner 813-443-4393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2013-02-18 |
| Last Update Date | 2013-02-18 |