| NPI | 1104523265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AGUSTIN PRADO Cmo 917-226-0509 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 3747P1801X Technician Personal Care Attendant |
| Enumeration Date | 2023-02-09 |
| Last Update Date | 2024-04-01 |