| NPI | 1912520529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA ANDREA PARKS Owner 904-333-3709 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2020-05-19 |
| Last Update Date | 2020-05-19 |