| NPI | 1073269148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANCE DIXON Consultant 773-724-8023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 374U00000X Home Health Aide |
| Enumeration Date | 2022-02-26 |
| Last Update Date | 2022-02-26 |