| NPI | 1376297242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONINE ALEXIS Administrator 904-523-4791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2022-02-09 |
| Last Update Date | 2022-02-09 |