| NPI | 1962112060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNIE ODOM Owner 850-692-4300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2022-11-29 |
| Last Update Date | 2023-07-10 |