| NPI | 1457207490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE FELICIA FELTON President 904-535-8218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2026-03-10 |
| Last Update Date | 2026-03-10 |