| NPI | 1932841590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEMEL A POWELL Owner 904-576-5756 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 177F00000X Lodging |
| 251300000X Local Education Agency (LEA) | |
| 251G00000X Hospice Care, Community Based | |
| 253J00000X Foster Care Agency | |
| 261QA0600X Clinic/Center Adult Day Care | |
| 261QD1600X Clinic/Center Developmental Disabilities | |
| 385H00000X Respite Care | |
| 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities | |
| Enumeration Date | 2022-04-12 |
| Last Update Date | 2022-04-12 |