| NPI | 1417791500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LA'RONIQUIA BRE'NAE FLEMING Owner 904-254-0469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2024-06-24 |
| Last Update Date | 2024-07-20 |