| NPI | 1184334948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEREKIA JOHNSON Owner 904-616-8677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2022-12-01 |
| Last Update Date | 2024-05-16 |