| NPI | 1265191548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANTRELL COBB Owner 904-571-7843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 372600000X Adult Companion |
| 374U00000X Home Health Aide | |
| 376J00000X Homemaker | |
| Enumeration Date | 2021-12-14 |
| Last Update Date | 2021-12-14 |