| NPI | 1306338272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILYN E POWELL Assistant Administrator 904-614-8005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider |
| Additional Taxonomies | 372600000X Adult Companion |
| 3747P1801X Technician, Personal Care Attendant | |
| 374U00000X Home Health Aide | |
| 376J00000X Homemaker | |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2018-06-05 |