| NPI | 1083483093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELIX NWOKEM Administrator 346-202-9348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
| Enumeration Date | 2024-01-02 |
| Last Update Date | 2024-01-02 |