| NPI | 1770977290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANISA SCIPPIO Owner 904-405-5614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X |
| Additional Taxonomies | 251E00000X Home Health |
| 251E00000X Home Health | |
| Enumeration Date | 2015-03-23 |
| Last Update Date | 2023-01-13 |