| NPI | 1619546710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYTONYA FREEMAN CEO 904-612-9079 |
| 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 | 2021-06-22 |