| NPI | 1740851435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYSHEANA M PETERSON Owner 904-899-2288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 376J00000X Homemaker |
| Additional Taxonomies | 374U00000X Home Health Aide |
| 372500000X Chore Provider | |
| 253Z00000X In Home Supportive Care | |
| 372600000X Adult Companion | |
| 385H00000X Respite Care | |
| Enumeration Date | 2021-07-05 |
| Last Update Date | 2026-03-13 |