| NPI | 1750988895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYSSA JACOBS Chief Executive Officer 904-474-2192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 163WH0200X Registered Nurse, Home Health | |
| 164W00000X Licensed Practical Nurse | |
| 251J00000X Nursing Care | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2020-10-01 |
| Last Update Date | 2020-10-31 |