| NPI | 1982019816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAKITA SHONTA HAYES Owner 352-504-8954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251E00000X Home Health (Licence: FL 009976600) |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2022-04-26 |