| NPI | 1063179299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETROS KATIVHU Program Administrator 910-705-9386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2021-11-22 |
| Last Update Date | 2022-12-28 |