| NPI | 1396448387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARIF A JALIL Owner 904-217-2787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 251E00000X Home Health |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2023-03-27 |
| Last Update Date | 2023-03-27 |