| NPI | 1376011825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHVADA MAGNOLIA TAYLOR Owner/Administrator 904-625-7304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 372600000X Adult Companion |
| Additional Taxonomies | 251E00000X Home Health |
| 376J00000X Homemaker | |
| Enumeration Date | 2018-11-02 |
| Last Update Date | 2018-11-26 |