| NPI | 1104597129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELICIA COOPER Vice President/Alt Administrator 267-276-8925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2021-09-21 |
| Last Update Date | 2021-09-21 |