| NPI | 1023508595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMAIYAH HARRIS Owner 904-414-1785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 385H00000X Respite Care |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| 251E00000X Home Health | |
| 253Z00000X In Home Supportive Care | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2018-05-10 |
| Last Update Date | 2020-11-06 |