| NPI | 1467122556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AALIYAH NOISETTE HENLEY Owner 904-962-0012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2021-09-20 |
| Last Update Date | 2023-06-07 |