| NPI | 1356953483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHANTI JANEA THOMAS Owner/Director 904-236-2328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QR0800X Clinic/Center, Recovery Care | |
| 261QV0200X Clinic/Center, VA | |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| 347C00000X Private Vehicle | |
| 372600000X Adult Companion | |
| 376J00000X Homemaker | |
| 385H00000X Respite Care | |
| Enumeration Date | 2020-08-19 |
| Last Update Date | 2020-08-19 |