| NPI | 1053392746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CECIL GATES Operations Manager 888-451-5900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: KS A046090) |
| Additional Taxonomies | 251E00000X Home Health (Licence: MO 46510) |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2020-08-22 |