| NPI | 1982455812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE M PARKER Administrator Mbr 850-585-8465 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2024-03-28 |
| Last Update Date | 2024-04-09 |