| NPI | 1083220719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTANTUS IHEANACHO Administrator 346-428-9604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251B00000X Case Management |
| 251G00000X Hospice Care, Community Based | |
| 253Z00000X In Home Supportive Care | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2020-09-18 |
| Last Update Date | 2024-06-11 |