| NPI | 1700187697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDIA LASHEL BACKMAN President/Executive Director 904-347-3480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based |
| Enumeration Date | 2010-11-08 |
| Last Update Date | 2010-11-08 |