| NPI | 1437729068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | D'ARCHA BENNETT Owner 904-274-9216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2021-06-27 |
| Last Update Date | 2021-06-27 |