| NPI | 1063819548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TASHANA LAPIERRE Administrator 904-307-9493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care (Licence: FL 1757) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: FL 1757) |
| 163W00000X Registered Nurse (Licence: FL 1757) | |
| 374700000X Technician (Licence: FL 1757) | |
| 376K00000X Nurse's Aide (Licence: FL 1757) | |
| Enumeration Date | 2014-11-26 |
| Last Update Date | 2015-04-27 |