| NPI | 1124716238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN BETANCOURT Ambr 346-218-3594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
| Enumeration Date | 2023-04-26 |
| Last Update Date | 2023-10-11 |