| NPI | 1831857119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELIA A WHITE Administrator 850-252-4312 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based |
| 251J00000X Nursing Care | |
| 253Z00000X In Home Supportive Care | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 261QD0000X Clinic/Center, Dental | |
| 261QP1100X Clinic/Center, Podiatric | |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| 314000000X Skilled Nursing Facility | |
| 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 374U00000X Home Health Aide | |
| 385H00000X Respite Care | |
| Enumeration Date | 2021-12-03 |
| Last Update Date | 2023-04-29 |