| NPI | 1710524806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AYESHA M HARRIS Owner 904-800-9874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| 224ZE0001X Occupational Therapy Assistant Environmental Modification | |
| 224ZL0004X Occupational Therapy Assistant Low Vision | |
| 224ZR0403X Occupational Therapy Assistant Driving and Community Mobility | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2019-12-08 |
| Last Update Date | 2021-05-24 |