| NPI | 1871955799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA ALICIA CHAPMAN CEO 904-572-2162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 251J00000X Nursing Care (Licence: FL L16000018306) | |
| 253Z00000X In Home Supportive Care (Licence: FL L16000018306) | |
| 372600000X Adult Companion | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2020-01-09 |