| NPI | 1124533948 |
|---|---|
| Doing Business As | LARUE ESTATES |
| Entity Type | Organization |
| Authorized Contact | JOHNEL GRIGGS Owner 904-370-3575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 253Z00000X In Home Supportive Care | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| 251E00000X Home Health | |
| Enumeration Date | 2017-12-04 |
| Last Update Date | 2017-12-04 |