| NPI | 1316369044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATANA MANOMAT Administrator 904-679-1819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL 1585) |
| Additional Taxonomies | 163WI0500X Registered Nurse, Infusion Therapy (Licence: FL 1585) |
| 164W00000X Licensed Practical Nurse (Licence: FL 1585) | |
| 171M00000X Case Manager/Care Coordinator (Licence: FL 1585) | |
| 3747P1801X Technician, Personal Care Attendant (Licence: FL 1585) | |
| 374U00000X Home Health Aide (Licence: FL 1585) | |
| 376K00000X Nurse's Aide (Licence: FL 1585) | |
| Enumeration Date | 2014-01-15 |
| Last Update Date | 2014-01-15 |