| NPI | 1124586870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX MOUR Partner 267-614-1696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 251E00000X Home Health |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2019-03-12 |
| Last Update Date | 2025-02-05 |