| NPI | 1750865945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAQUANTA SHANKS Owner 904-219-7791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based |
| 372500000X Chore Provider | |
| 372600000X Adult Companion | |
| Enumeration Date | 2018-09-24 |
| Last Update Date | 2018-09-24 |