| NPI | 1316609662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEDRA R BEAUFORT Owner 904-480-2801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 376J00000X Homemaker |
| Additional Taxonomies | 251E00000X Home Health |
| 385H00000X Respite Care | |
| Enumeration Date | 2021-10-13 |
| Last Update Date | 2021-10-18 |