| NPI | 1063289189 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | RANSLAH HURST CEO 904-749-4492  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 251E00000X Home Health | 
| Additional Taxonomies | 251S00000X Community/Behavioral Health | 
| Enumeration Date | 2023-12-08 | 
| Last Update Date | 2023-12-08 |