| NPI | 1124776554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASMINE HALL Administrative Director 984-244-0226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2022-03-15 |
| Last Update Date | 2022-03-28 |