| NPI | 1053004994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOVETH C OGBOI Adminstrator 469-878-4722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
| Enumeration Date | 2023-05-26 |
| Last Update Date | 2023-07-07 |