| NPI | 1639683360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE L BELLAMY Owner 904-994-1113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities (Licence: FL 142571496) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2017-11-16 |
| Last Update Date | 2023-01-23 |