| NPI | 1023510252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VITALIY BOBKOV President 518-303-2224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2018-03-04 |
| Last Update Date | 2020-07-16 |