| NPI | 1023856440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHAIYANA WILSON CEO 267-452-2386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 174200000X Meals |
| 251E00000X Home Health | |
| 385H00000X Respite Care | |
| Enumeration Date | 2024-07-18 |
| Last Update Date | 2024-07-18 |