| NPI | 1093429540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA HARRIS Excutive Director 556-817-0049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 174200000X |
| 251E00000X Home Health | |
| 332U00000X Home Delivered Meals | |
| 385H00000X Respite Care | |
| Enumeration Date | 2023-01-10 |
| Last Update Date | 2023-01-10 |