| NPI | 1295676831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATINA PERRY Manager 904-588-6782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 174200000X Meals |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251J00000X Nursing Care | |
| 251S00000X Community/Behavioral Health | |
| 251V00000X Voluntary or Charitable | |
| 253Z00000X In Home Supportive Care | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 332U00000X Home Delivered Meals | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| 385H00000X Respite Care | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2026-04-06 |
| Last Update Date | 2026-04-06 |