NPI | 1073345054 |
---|---|
Doing Business As | HOUSE OF WELLNESS FAMILY HOME CARE, LLC |
Entity Type | Organization |
Authorized Contact | KETTLY JEAN LOUIS Owner 904-328-4485 |
Organization Subpart ? | No |
Primary Taxonomy | 251E00000X Home Health |
Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
253Z00000X In Home Supportive Care | |
Enumeration Date | 2024-08-17 |
Last Update Date | 2024-08-17 |