| NPI | 1003520834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA Y VINCENT CEO 904-210-9745 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2023-01-06 |
| Last Update Date | 2023-01-06 |