| NPI | 1780959817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEREE LYNN ELLINGSON Owner 904-779-5515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: FL 230654) |
| Enumeration Date | 2012-03-22 |
| Last Update Date | 2012-03-22 |