| NPI | 1811693104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONEISHA T HAROLD Owner 904-442-0780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based |
| 251J00000X Nursing Care | |
| 251K00000X Public Health or Welfare | |
| 302R00000X Health Maintenance Organization | |
| Enumeration Date | 2023-02-07 |
| Last Update Date | 2023-02-07 |