| NPI | 1104676923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONCHELLE JACKSON Owner 267-904-1958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2024-03-25 |
| Last Update Date | 2024-03-25 |