NPI | 1003411794 |
---|---|
Entity Type | Organization |
Authorized Contact | VERNELL GRIGGS CEO 904-894-1436 |
Organization Subpart ? | No |
Primary Taxonomy | 251E00000X Home Health |
Additional Taxonomies | 251J00000X Nursing Care |
253Z00000X In Home Supportive Care | |
3104A0625X Assisted Living Facility, Assisted Living, Mental Illness | |
320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
385H00000X Respite Care | |
385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
Enumeration Date | 2020-12-01 |
Last Update Date | 2020-12-01 |