NPI | 1124809595 |
---|---|
Entity Type | Organization |
Authorized Contact | IKECHUKWU AGU Owner/Administrator 424-426-7635 |
Organization Subpart ? | No |
Primary Taxonomy | 251E00000X Home Health |
Additional Taxonomies | 251G00000X Hospice Care, Community Based |
3747A0650X Technician, Attendant Care Provider | |
3747P1801X Technician, Personal Care Attendant | |
Enumeration Date | 2023-10-11 |
Last Update Date | 2024-03-27 |