| NPI | 1417603812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARJORIE PAUL Ad MIS Trator 904-233-3989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 385H00000X Respite Care | |
| Enumeration Date | 2022-02-23 |
| Last Update Date | 2022-02-23 |