| NPI | 1386313419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATRELL DELORES GASKIN Owner 904-731-6109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| 385H00000X Respite Care | |
| Enumeration Date | 2021-09-11 |
| Last Update Date | 2021-09-11 |