| NPI | 1295528362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODTEICE BLOUNT Owner 904-612-3917 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 372500000X Chore Provider |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2025-05-22 |
| Last Update Date | 2025-05-22 |