NPI | 1033614508 |
---|---|
Former Legal Business Name | ELIENNA MINNIEFIELD |
Entity Type | Organization |
Authorized Contact | ELIENNA MINNIEFIELD Owner 125-645-2948 |
Organization Subpart ? | No |
Primary Taxonomy | 251E00000X Home Health (Licence: AL 3638) |
Enumeration Date | 2018-03-27 |
Last Update Date | 2023-04-01 |