| NPI | 1104585256 |
|---|---|
| Doing Business As | -- YEAR -- |
| Entity Type | Organization |
| Authorized Contact | EVELYN AGYARE Provider 973-930-3545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2021-12-15 |
| Last Update Date | 2021-12-15 |