| NPI | 1013555135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAWATA FOFANA Owner President 646-418-4681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2019-12-19 |
| Last Update Date | 2021-05-11 |