| NPI | 1083552095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSE MAE JENKINS Owner 448-215-4109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2026-03-23 |
| Last Update Date | 2026-07-05 |