| NPI | 1356963284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINGER MCCOLLUM Manager 850-247-1990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 251E00000X Home Health |
| 251F00000X Home Infusion | |
| 251J00000X Nursing Care | |
| 251S00000X Community/Behavioral Health | |
| 252Y00000X Early Intervention Provider Agency | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2020-05-13 |
| Last Update Date | 2020-05-13 |