| NPI | 1962898221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELNORA B. GARDNER Owner/President 904-997-9511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251E00000X Home Health |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2015-04-13 |