| NPI | 1073125217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UNKNOWN MICHEAL LIEMBO EKANEY Owner/Director 980-242-7280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2020-08-19 |
| Last Update Date | 2020-08-19 |