| NPI | 1699116988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWNATA NICOLE MARSHALL Owner 904-438-0605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care |
| Additional Taxonomies | 347C00000X Private Vehicle |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2013-07-15 |