| NPI | 1104415199 |
|---|---|
| Doing Business As | PROSPEROUS HOME CARE SERVICES |
| Entity Type | Organization |
| Authorized Contact | LENNIS BROWN Program Director 704-806-4844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2021-01-13 |
| Last Update Date | 2021-01-13 |