NPI | 1023356391 |
---|---|
Other Name | HOME HEALTHCAREAGENCY |
Entity Type | Organization |
Authorized Contact | JAMAL M DAR President 5034-475-8802 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: OR 46-1831014) |
Enumeration Date | 2013-01-22 |
Last Update Date | 2013-01-22 |