| NPI | 1023832516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PANDORA GAVIN Owner 443-953-8907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 374U00000X Home Health Aide |
| Enumeration Date | 2024-11-11 |
| Last Update Date | 2024-11-12 |