| NPI | 1376080564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERETTA JOSEPH Administrator 904-449-7977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 385H00000X Respite Care |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2017-01-25 |
| Last Update Date | 2017-01-25 |