| NPI | 1710139639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA M MASTBOOM-BELL Owner/President 904-460-2389 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2008-10-22 |
| Last Update Date | 2008-10-22 |