| NPI | 1255979639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMOGELANG KEAKOPA President 904-514-7533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2019-12-16 |
| Last Update Date | 2019-12-16 |