| NPI | 1891567988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA SHELTON Administrator 904-586-2406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 385H00000X Respite Care | |
| Enumeration Date | 2023-10-23 |
| Last Update Date | 2023-10-23 |