| NPI | 1124263520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN RENE ELLISON President 267-513-1722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: PA RN232274L) |
| Enumeration Date | 2008-12-13 |
| Last Update Date | 2011-07-12 |