| NPI | 1215795547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMAIN OMEILIO THOMAS CEO 904-894-4114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 342000000X Transportation Network Company | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2024-03-11 |
| Last Update Date | 2024-03-11 |