| NPI | 1003275942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNETTA SAMUELS Owner/Administrator 251-423-9196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: AL 621399) |
| Enumeration Date | 2016-02-21 |
| Last Update Date | 2016-02-21 |