| NPI | 1861003055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE WILLIAMS Owner/CEO 904-438-8590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2023-03-08 |