| 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 |