| NPI | 1053056978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERLENE DELOIS JOHNSON Regional Director 850-765-5241 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 372600000X Adult Companion |
| Additional Taxonomies | 376J00000X Homemaker |
| Enumeration Date | 2022-05-04 |
| Last Update Date | 2022-05-04 |