| NPI | 1215682505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWAN DAVIS Owner 904-415-7665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2022-02-16 |
| Last Update Date | 2022-02-16 |