| NPI | 1063268191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRIAM POKU AGYEMAN Director 267-471-3596 |
| Organization Subpart ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 174200000X Meals |
| 251E00000X Home Health | |
| 251G00000X Hospice Care, Community Based | |
| 251J00000X Nursing Care | |
| 251S00000X | |
| 253Z00000X In Home Supportive Care | |
| 315D00000X Hospice, Inpatient | |
| 332U00000X Home Delivered Meals | |
| 385H00000X Respite Care | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2024-04-29 |
| Last Update Date | 2024-04-29 |