| NPI | 1124527510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANITA MINOR President 267-216-6113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health (Licence: PA 36143601) |
| Enumeration Date | 2018-02-12 |
| Last Update Date | 2019-11-26 |