| NPI | 1114760246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSIE JACKSON Owner 210-999-0960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist |
| Additional Taxonomies | 171400000X Health & Wellness Coach |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 253Z00000X In Home Supportive Care | |
| 310400000X Assisted Living Facility | |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| 372500000X Chore Provider | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2024-06-17 |
| Last Update Date | 2024-07-24 |