| NPI | 1518951003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN MANCHESTER Billing Agent 904-777-5002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 376J00000X Homemaker |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2007-10-19 |