| NPI | 1972096196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRAZIER JEROME MARSHALL Administrator 352-255-4060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2021-02-16 |