| NPI | 1558061994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TA'SHARA T WHITEHEAD Manager 904-990-4774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2023-03-06 |
| Last Update Date | 2023-03-06 |