| NPI | 1154078764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATONIA BANYLEE LEVY Manager 904-549-3709 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251F00000X Home Infusion |
| 332U00000X Home Delivered Meals | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2022-03-03 |
| Last Update Date | 2022-03-03 |