| NPI | 1124308093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE M FICKLIN-FITZGERALD Rehabilitation Christian Counselor 888-666-1203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: NY 714520) |
| Enumeration Date | 2011-08-24 |
| Last Update Date | 2011-08-24 |