| NPI | 1932777877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KASSIE WHITFIELD Managing Member/Owner 904-480-1755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 251K00000X Public Health or Welfare | |
| 251S00000X Community/Behavioral Health | |
| 253Z00000X In Home Supportive Care | |
| 343800000X Secured Medical Transport (VAN) | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347E00000X Transportation Broker | |
| Enumeration Date | 2021-06-16 |
| Last Update Date | 2021-06-16 |