| NPI | 1053972604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOTOSHA MARIE MOSES Administrator 877-331-8445 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2019-07-03 |