| NPI | 1477046241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEIARRA HENDRICK CEO 904-403-8827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2024-06-21 |