| NPI | 1003587619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NERINA J MOULTRIEZ CEO 315-717-2126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based |
| 251J00000X Nursing Care | |
| Enumeration Date | 2021-09-23 |
| Last Update Date | 2021-09-23 |