| NPI | 1295398709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANICA HILL Owner 904-315-0437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 372600000X Adult Companion |
| 374U00000X Home Health Aide | |
| 376J00000X Homemaker | |
| 376K00000X Nurse's Aide | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| 251S00000X | |
| 372500000X Chore Provider | |
| Enumeration Date | 2019-04-19 |
| Last Update Date | 2019-04-19 |