| NPI | 1841723020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HELEN AMOS Owner 904-908-0014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: FL 002552700) |
| Additional Taxonomies | 251E00000X Home Health (Licence: FL 006386700) |
| 253Z00000X In Home Supportive Care (Licence: FL 002552700) | |
| 253Z00000X In Home Supportive Care (Licence: FL 006386700) | |
| 385H00000X Respite Care (Licence: FL 002552700) | |
| 385H00000X Respite Care (Licence: FL 006386700) | |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child (Licence: FL 002552700) | |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child (Licence: FL 006386700) | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: FL 002552700) | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: FL 006386700) | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child (Licence: FL 002552700) | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child (Licence: FL 006386700) | |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2017-04-05 |