| NPI | 1942813233 |
|---|---|
| Doing Business As | AUTHENTIC HEALTHCARE OF JAX, LLC |
| Entity Type | Organization |
| Authorized Contact | JOHANNA I GATES RN 904-802-5267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 376J00000X Homemaker |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2021-07-21 |