| NPI | 1346733185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONYA HALL Member 904-504-8855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health |
| 251S00000X | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2018-06-13 |