| NPI | 1114625050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTINESE STINSON Owner 904-651-9032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251E00000X Home Health | |
| 372600000X Adult Companion | |
| 385H00000X Respite Care | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2023-02-20 |
| Last Update Date | 2023-02-20 |