| NPI | 1326670357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLENE DENNIS Administrator 904-703-9214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| 253Z00000X In Home Supportive Care | |
| 101YM0800X Counselor, Mental Health | |
| 251F00000X Home Infusion | |
| 251G00000X Hospice Care, Community Based | |
| 261QR0800X Clinic/Center, Recovery Care | |
| 314000000X Skilled Nursing Facility | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2020-02-07 |
| Last Update Date | 2020-02-07 |