| NPI | 1801928825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENEVIEVE N DOREUS CEO 904-318-1127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: FL 1334701) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2020-08-22 |