| NPI | 1417483306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY LOUISE HANDY-PETERSON Owner 904-999-8272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251B00000X Case Management |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251S00000X | |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |