| NPI | 1710625900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZETTE TAYLOR President 904-345-1914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 261QD1600X Clinic/Center Developmental Disabilities |
| 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities | |
| Enumeration Date | 2022-05-26 |
| Last Update Date | 2022-05-26 |