| NPI | 1114962859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLENE LOUISE AUSTIN CEO 904-766-1285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider |
| Additional Taxonomies | 251E00000X Home Health |
| 261QH0100X Clinic/Center, Health Services | |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2022-10-19 |