| NPI | 1134514367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA BUSTAMANTE Director 857-928-0784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253J00000X Foster Care Agency |
| Enumeration Date | 2015-04-03 |
| Last Update Date | 2015-04-03 |