| NPI | 1528651437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENA JACKSON Owner 904-635-0223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 372600000X Adult Companion |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2021-02-11 |
| Last Update Date | 2021-02-11 |