| NPI | 1457962813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CIERRA TOMESHIA MCGHEE Owner 904-210-8666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child |
| Additional Taxonomies | 251E00000X Home Health |
| 253Z00000X In Home Supportive Care | |
| 385H00000X Respite Care | |
| 385HR2050X Respite Care, Respite Care Camp | |
| Enumeration Date | 2020-08-11 |
| Last Update Date | 2020-08-11 |