NPI | 1619546710 |
---|---|
Entity Type | Organization |
Authorized Contact | RAYTONYA FREEMAN CEO 904-835-0722 |
Organization Subpart ? | No |
Primary Taxonomy | 251E00000X Home Health |
Additional Taxonomies | 253Z00000X In Home Supportive Care |
343900000X Non-emergency Medical Transport (VAN) | |
385H00000X Respite Care | |
385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
Enumeration Date | 2021-06-22 |
Last Update Date | 2024-09-12 |