| NPI | 1093542292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RADCLIFFE J.V. GANDA CEO/Owner 463-258-5072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 174200000X Meals |
| 177F00000X Lodging | |
| 251B00000X Case Management | |
| 251F00000X Home Infusion | |
| 251J00000X Nursing Care | |
| 251S00000X | |
| 253J00000X Foster Care Agency | |
| 253Z00000X In Home Supportive Care | |
| 310400000X Assisted Living Facility | |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2024-09-19 |
| Last Update Date | 2024-09-19 |