| NPI | 1114771920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER JANE COOK Owner 479-715-3875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 261QC1500X Clinic/Center Community Health |
| Enumeration Date | 2024-04-16 |
| Last Update Date | 2024-04-16 |