| Organization Name: | D381G, INC. |
| NPI Number: | 1124336409 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BYRON KEITH KELLEY (PRESIDENT) |
| Mailing Address: | 4961 Babcock St Ne Suite 8 Palm Bay |
| State: | FL US |
| Postal Code: | 329052800 |
| Phone Number: | 3219143999 |
| Fax Number: | 3219143996 |
| NPI Enumeration Date: | 09/20/2010 |
| NPI Last Update Date: | 09/20/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | 231664 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | In Home Supportive Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |