| NPI | 1629646443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARETTA STAMPER-CLARK Owner / Admin 904-343-7626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 172A00000X Driver |
| 251S00000X Community/Behavioral Health | |
| 253Z00000X In Home Supportive Care | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347E00000X Transportation Broker | |
| Enumeration Date | 2021-06-16 |
| Last Update Date | 2025-05-14 |