| NPI | 1215420229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLLISA WILLIAMS Owner 904-316-5347 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2025-09-08 |