| NPI | 1154481356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAERINE RAYNER Agency Director 904-502-2666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: FL 688075496) |
| Additional Taxonomies | 251E00000X Home Health (Licence: FL 688075401) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2014-11-18 |