| NPI | 1679352538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIEARRA KNEIVA DICKENS CEO 904-463-3917 |
| Organization Subpart ? | No |
| Primary Taxonomy | 376J00000X Homemaker |
| Additional Taxonomies | 374U00000X Home Health Aide |
| Enumeration Date | 2023-09-28 |
| Last Update Date | 2023-09-28 |