NPI | 1962169862 |
---|---|
Entity Type | Organization |
Authorized Contact | TAMMY WOODS Administrator 904-322-4351 |
Organization Subpart ? | No |
Primary Taxonomy | 251E00000X Home Health |
Additional Taxonomies | 164W00000X Licensed Practical Nurse |
251G00000X Hospice Care, Community Based | |
251J00000X Nursing Care | |
253Z00000X In Home Supportive Care | |
347C00000X Private Vehicle | |
372600000X Adult Companion | |
3747A0650X Technician Attendant Care Provider | |
3747P1801X Technician Personal Care Attendant | |
374T00000X Religious Nonmedical Nursing Personnel | |
374U00000X Home Health Aide | |
385H00000X Respite Care | |
Enumeration Date | 2021-11-26 |
Last Update Date | 2022-02-25 |