| NPI | 1073105367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORATTA MANSELL Owner 904-254-9308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 372500000X Chore Provider |
| Enumeration Date | 2021-02-08 |
| Last Update Date | 2021-02-08 |