| NPI | 1700741824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONTAVIA TANIAH YANCEY Owner 904-333-0217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2025-12-20 |
| Last Update Date | 2026-01-06 |