| NPI | 1013603372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHELA FOREMAN Manager 904-258-8023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2023-04-11 |
| Last Update Date | 2023-04-11 |