| NPI | 1043906175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GIGI MONIQUE SOUTHWOOD-LONG CEO 267-901-1635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2023-04-12 |
| Last Update Date | 2023-09-26 |