| NPI | 1992005698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PADRICA DAVIS Director 772-646-1430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X (Licence: FL 002106300) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2010-10-27 |
| Last Update Date | 2010-10-27 |