| NPI | 1962827816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE ROBERSON Owner 386-254-0505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: FL 30210954) |
| Enumeration Date | 2014-03-03 |
| Last Update Date | 2014-03-03 |