| NPI | 1124802905 |
|---|---|
| Doing Business As | NEW WAVE HOME CARE TX |
| Entity Type | Organization |
| Authorized Contact | TERRANCE A MACK Alt Administrator/Managing Member 215-582-9779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
| 385H00000X Respite Care | |
| Enumeration Date | 2023-08-22 |
| Last Update Date | 2023-08-22 |