| NPI | 1982460747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEAUNDRIA DENISE SHAHEED Owner 904-532-5186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 174200000X |
| 177F00000X Lodging | |
| 251G00000X Hospice Care, Community Based | |
| 385H00000X Respite Care | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2024-02-27 |
| Last Update Date | 2024-02-27 |