| NPI | 1043882608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEZELLE WILLIAMS Owner 731-300-3195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 101Y00000X Counselor |
| 103TR0400X Psychologist, Rehabilitation | |
| 104100000X Social Worker | |
| 171M00000X Case Manager/Care Coordinator | |
| 251E00000X Home Health | |
| 251S00000X Community/Behavioral Health | |
| 3747P1801X Technician, Personal Care Attendant | |
| 385H00000X Respite Care | |
| Enumeration Date | 2021-07-13 |
| Last Update Date | 2026-09-11 |