| NPI | 1982952016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORTLAKE ORLANDO NEMBHARD President 352-505-8645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: FL 232808) |
| Enumeration Date | 2012-08-21 |
| Last Update Date | 2012-08-21 |