| NPI | 1477743581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHENAVIAN FREDITA GOODMAN President 904-379-4931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: FL 692582196) |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2007-07-26 |