| NPI | 1124876339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDSON M WRIGHT Director 267-650-0975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2024-05-11 |
| Last Update Date | 2024-05-11 |