| NPI | 1518412618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESPERANDIEU ELBON Manager 904-672-6387 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: FL 608373) |
| Enumeration Date | 2016-08-18 |
| Last Update Date | 2016-08-18 |