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 |