NPI | 1124660741 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 251E00000X Home Health |
Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
310400000X Assisted Living Facility | |
313M00000X Nursing Facility/Intermediate Care Facility | |
Enumeration Date | 2019-10-15 |
Last Update Date | 2019-10-15 |