| NPI | 1699821322 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | KELLI CAMERON Director Of Managed Care 904-345-7158  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 251E00000X Home Health (Licence: FL 299992619)  | 
| Enumeration Date | 2007-01-26 | 
| Last Update Date | 2025-10-02 |