| NPI | 1477494615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES JACKSON Owner 850-665-5766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2026-04-02 |
| Last Update Date | 2026-07-21 |