| NPI | 1023716578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYNASHA BLACK Owner 959-200-1886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2023-02-22 |
| Last Update Date | 2023-02-22 |