NPI | 1003588666 |
---|---|
Entity Type | Organization |
Authorized Contact | JONES OLOWONIYI Administrator 754-221-0107 |
Organization Subpart ? | No |
Primary Taxonomy | 251E00000X Home Health |
Additional Taxonomies | 253Z00000X In Home Supportive Care |
Enumeration Date | 2021-10-01 |
Last Update Date | 2022-02-11 |