| NPI | 1114785318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FONDA NKWOCHA Owner 385-313-2344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2024-03-12 |
| Last Update Date | 2024-11-02 |