| NPI | 1184323412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE WINGARD Owner 904-536-9864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 376J00000X Homemaker |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 251E00000X Home Health | |
| 385H00000X Respite Care | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2023-02-24 |
| Last Update Date | 2023-02-24 |