| NPI | 1245568930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA LEIGH SHEPHARD Vice President/Treasurer Of Bod 904-551-0760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2009-11-18 |
| Last Update Date | 2013-09-25 |