| NPI | 1518475870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYSHAWN KAY Owner 904-505-5677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 376J00000X Homemaker |
| Additional Taxonomies | 251J00000X Nursing Care |
| 253Z00000X In Home Supportive Care | |
| 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | |
| Enumeration Date | 2018-01-19 |
| Last Update Date | 2022-10-19 |