| NPI | 1730577107 |
|---|---|
| Doing Business As | N/A |
| Entity Type | Organization |
| Authorized Contact | RACHEAL DENISE ASHLEY Owner 904-962-4662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: FL 691632596) |
| Enumeration Date | 2015-01-07 |
| Last Update Date | 2015-01-07 |