| NPI | 1851891899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEIGHA WILLIAMS Owner/ Director 904-333-2429 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2018-02-16 |
| Last Update Date | 2018-03-13 |