| NPI | 1073245163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATASHA J WATSON Administrator 267-209-2019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 174200000X |
| Enumeration Date | 2022-06-27 |
| Last Update Date | 2022-06-27 |