| NPI | 1477985612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANQUAN LAKEISHA WILSON Owner 904-554-9274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: FL 233056) |
| Enumeration Date | 2013-07-30 |
| Last Update Date | 2013-07-30 |