| NPI | 1134687130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY FISHER Owner/President 904-697-8553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child |
| 385H00000X Respite Care | |
| 251J00000X Nursing Care | |
| 253Z00000X In Home Supportive Care | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2019-03-08 |
| Last Update Date | 2019-03-08 |