| NPI | 1053883488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAVI GURUNG Secretary/Owner 718-808-2714 |
| Organization Subpart ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 310400000X Assisted Living Facility | |
| 385H00000X Respite Care | |
| Enumeration Date | 2018-12-24 |
| Last Update Date | 2018-12-24 |