| NPI | 1093369472 |
|---|---|
| Doing Business As | COLMAN LIFE BREAKTHROUGH LLC |
| Entity Type | Organization |
| Authorized Contact | LERREA MADELEINE MENGATA Independent Nurse 857-249-8804 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse |
| Enumeration Date | 2019-07-24 |
| Last Update Date | 2021-03-01 |