| NPI | 1992413249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESTINY S CLARK Owner 904-304-8509 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| 251J00000X Nursing Care | |
| 372600000X Adult Companion | |
| 376J00000X Homemaker | |
| Enumeration Date | 2022-11-07 |
| Last Update Date | 2023-07-27 |