| NPI | 1144987165 |
|---|---|
| Doing Business As | JACKS THERAPY CENTER LLC |
| Entity Type | Organization |
| Authorized Contact | TINA SINES Owner/Operator 904-598-4551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 372600000X Adult Companion |
| 374U00000X Home Health Aide | |
| 376J00000X Homemaker | |
| 385H00000X Respite Care | |
| Enumeration Date | 2021-11-24 |
| Last Update Date | 2021-12-08 |